Atlas of 3D Transesophageal Echocardiography in Structural Heart Disease Interventions : Cases and Videos

This book introduces classic and unique cases in 3D TEE in structural heart disease interventions. In each all the 40 cases, background information, clinical presentations, and diagnostic findings are present and followed by step-by-step approaches of interventional therapies and outcomes after the procedures. The highlight of the book is to utilize extensive illustrations, over 500, to demonstrate various cardiovascular pathologies. Most of the figures are 3D transesophageal echocardiograms, they are cooperated with 2D transesophageal echocardiograms, X rays, fluoroscopies, computed tomograms, etc. Since the echo images obtained in clinic practice are moving images, it also includes over 300 videos, which serve as a supplement to the static illustrations in this book. The atlas is organized into five chapters. In Chapters one, cases received closure of congenital and acquired cardiac defects are described. Transcatheter aortic valve implantation and its complications are discussed in Chapter two and three. Chapter four details the valve-in-valve therapy. Chapter five covers MitraClip therapy. It offers readers an insider’s view of 3D transesophageal echocardiography in structural heart disease interventions and to refresh their clinical work. Preface 5 Contents 7 Brief Introduction of Three-Dimensional Transesophageal Echocardiography in Structural Heart Disease Interventions 9 1: Transcatheter Aortic Valve Implantation 10 1.1 Introduction 10 1.2 Transapical SAPIEN Valve Implantation 11 1.3 Transapical SAPIEN Valve Implantation for Lower Limbs Arteries Atherosclerotic Calcifications 14 1.4 SAPIEN Valve Implantation of Bicuspid Aortic Valve 18 1.5 Paravalvular Leakage After CoreValve Implantation Decreased with Time 22 1.6 CoreValve Implantation After David Operation 26 1.7 Valve-In-Valve Implantation of CoreValve for Malposition 30 1.8 Implantation of SAPIEN Valve in CoreValve After David Operation 35 1.9 Demonstration of Left Circumflex During SAPIEN Valve Implantation 41 1.10 Improvement of Left Ventricular Function After SAPIEN Valve Implantation 44 1.11 Occasional Find of Atheroma During CoreValve Implantation 49 Suggested Readings 54 2: Valve-In-Valve Therapy 55 2.1 Introduction 55 2.2 Mitral Valve-In-Ring Implantation of Lotus Valve 56 2.3 Mitral Valve-In-Valve Implantation of Lotus Valve 59 2.4 Aortic Valve-In-Valve Implantation of CoreValve 63 2.5 Aortic and Mitral Valve-In-Valve Implantation of SAPIEN Valves in One Session 66 2.6 Occluder and Mitral Valve-In-Valve Implantation for Paravalvular Leakage 70 2.7 Double Occluders and Mitral Valve-In-Valve Implantation for Paravalvular Leakage 75 2.8 Recapture of Lotus Valve During Mitral Valve-In-Valve Implantation 79 Suggested Readings 84 3: MitraClip 86 3.1 Introduction 86 3.2 Transcatheter Aortic Valve Implantation and MitraClip in One Session 86 3.3 Mitral Stenosis After the MitraClip Procedure 93 3.4 Mitral Valve Tear After Double MitraClip Procedure 99 Suggested Readings 105 4: Percutaneous Closure of Congenital and Acquired Cardiac Defects 107 4.1 Introduction 107 4.2 Occluder Implantation of Secundum Atrial Septal Defect 107 4.3 Occluder Implantation of Multiple Atrial Septal Defect 111 4.4 Occluder Implantation of Muscular Ventricular Septal Defect 114 4.5 Occluder Implantation of Patent Ductus Arteriosus 117 4.6 Occluder Implantation of Aortic Annular Pseudoaneurysm After Aortic Valve Replacement 122 4.7 Occluder Implantation of Left Ventricle to Right Atrium Shunt 127 Suggested Readings 132 5: Complications of Interventional Procedures 133 5.1 Introduction 133 5.2 Stroke After Transcatheter Aortic Valve Implantation 133 5.3 Aortic Valve-in-Valve Implantation of Lotus Valve for Paravalvular Leakage 137 5.4 Implantation of SAPIEN Valve in CoreValve for Paravalvular Leakage 141 5.5 CoreValve Embolized to Ascending Aorta 148 5.6 SAPIEN Valve Embolized to Abdominal Aorta 152 5.7 Coronary Obstruction After Transcatheter Aortic Valve Implantation 157 5.8 Iatrogenic Coronary Damage After Mitral Valve-in-Valve Implantation 162 5.9 Periaortic Hematoma Formation and Coronary Injury After Transcatheter Aortic Valve Implantation 166 5.10 Iatrogenic Ventricular Septal Defect and Following Rapid Tumor Invasion after Transcatheter Aortic Valve Implantation 173 5.11 Percutaneous Closure of Iatrogenic Left Ventricular Apical Pseudoaneurysm 179 Suggested Readings 184 Front Matter ....Pages i-ix Transcatheter Aortic Valve Implantation (Ming-Chon Hsiung, Wei-Hsian Yin, Fang-Chieh Lee, Wei-Hsuan Chiang)....Pages 1-45 Valve-In-Valve Therapy (Ming-Chon Hsiung, Wei-Hsian Yin, Fang-Chieh Lee, Wei-Hsuan Chiang)....Pages 47-77 MitraClip (Ming-Chon Hsiung, Wei-Hsian Yin, Fang-Chieh Lee, Wei-Hsuan Chiang)....Pages 79-99 Percutaneous Closure of Congenital and Acquired Cardiac Defects (Ming-Chon Hsiung, Wei-Hsian Yin, Fang-Chieh Lee, Wei-Hsuan Chiang)....Pages 101-126 Complications of Interventional Procedures (Ming-Chon Hsiung, Wei-Hsian Yin, Fang-Chieh Lee, Wei-Hsuan Chiang)....Pages 127-178