Posterior thoracic echocardiography for assessment of native and prosthetic aortic valves in the presence of pleural effusion

Ming Sum Lee, Tasneem Z. Naqvi

Research output: Contribution to journalArticle

Abstract

Many patients with aortic stenosis have difficult imaging windows due to advanced age, kyphosis, prior chest surgeries, radiation-induced skin changes, or hyperinflated lungs from pulmonary disease. Here we describe 4 cases to illustrate that in a subset of patients with pleural effusion, a posterior imaging approach can be used to obtain diagnostic images for native and prosthetic aortic valves. In these cases, nondiagnostic transthoracic echocardiographic images were obtained from conventional imaging windows, leading to inaccurate or incomplete assessment of the aortic valve. In all cases, images obtained from a posterior thoracic approach provided important additional diagnostic information.

Original languageEnglish (US)
Pages (from-to)721-727
Number of pages7
JournalJournal of Ultrasound in Medicine
Volume33
Issue number4
DOIs
StatePublished - Apr 1 2014

Keywords

  • Aortic stenosis
  • Echocardiography
  • Pleural effusion
  • Prosthetic aortic valve
  • Vascular ultrasound

ASJC Scopus subject areas

  • Radiological and Ultrasound Technology
  • Radiology Nuclear Medicine and imaging

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