Mitral Valve Mass Detected on Preoperative Transesophageal EchocardiogramA 45-YEAR-OLD WOMAN with past medical history significant for hypertension, asthma, and anemia was admitted to the authors' institution with complaint of dyspnea on exertion. A preoperative transthoracic echocardiogram showed moderate-to-severe aortic regurgitation, mild dilatation of the sinus of valsalva and ascending aorta and mild decrease in left ventricular function with an ejection fraction equal to 48%. The patient was scheduled for an aortic valve replacement and possible aortic root replacement.
Real-Time Three-Dimensional Transesophageal Echocardiographic Imaging of Endomyocardial FibrosisTHE FIRST CASE OF real-time 3-dimensional (3D) transesophageal echocardiography (TEE) imaging of an intracardiac mass is reported. Histologic examination later confirmed the diagnosis of endomyocardial fibrosis (EMF). The utilization of real-time 3D imaging to improve the understanding of the precise anatomic location and the dynamic relationship between this rare intracardiac mass and the surrounding anatomic structures during the cardiac cycle is described. Additionally, a brief review of EMF is provided.