Echocardiogram Report
Title of Procedure: Transesophageal echocardiogram (TEE).
Description of Procedure: The patient was brought to the procedure area after informed consent was obtained. The risks, benefits, and alternatives of transesophageal echocardiographic assessment were explained, and the patient and family voiced understanding and agreed to proceed.
Following adequate topical and intravenous sedation, the patient had blind esophageal intubation performed of the oropharynx in the usual manner. Images were made from the transgastric and transesophageal planes easily and without complications.
At the conclusion, the transesophageal probe was removed, and the patient was taken back to his room in stable condition.
Findings: Globally preserved left ventricular systolic function with visually estimated ejection fraction of 65% with normal regional wall motion in all segments. Trileaflet aortic valve with central mild aortic insufficiency. Large ascending aorta. Structurally normal-appearing mitral valve with a trace to 1+ mitral regurgitation. The intraatrial septum has a very large aneurysmal redundant segment bulging right to left. Color Doppler flow shows right-to-left shunting of the small area at the base of this aneurysmal dilatation. In addition, a contrast bubble study demonstrates free right-to-left shunting at the base of this aneurysmal intraatrial septal membrane. This is the obvious source for paradoxical embolus and right-to-left shunting and should be chronically anticoagulated. The left atrial appendage is well visualized with no evidence of thrombus. It is contracting nicely and has velocities in excess of 100 cm per second. No evidence of spontaneous echo contrast to suggest source of emboli from the left side of the heart. There is no left ventricular or left atrial thrombus identified. No pericardial effusion is seen. No intracardiac mass, thrombus or vegetation seen. The descending thoracic aorta is extremely tortuous, with mild intimal thickening but no dissection, aneurysm, or significant atherosclerotic changes identified.
Title of Procedure: M-mode, two-dimensional Doppler, and color Doppler echocardiogram.
Findings: The cardiac chamber sizes are normal. There is mild concentric left ventricular hypertrophy with the interventricular septum and left ventricular free walls measuring 1.1 cm. The left ventricular systolic function is normal with the estimated left ventricular ejection fraction of 60%. There are no wall motion abnormalities. The diastolic compliance of the left ventricle is normal. The valvular structures are grossly normal. Doppler and color Doppler interrogation of the valves reveals no insufficiency or stenosis. There is no pericardial effusion. There are no intracardiac thrombi or valvular vegetations.
Description of Procedure: The patient was brought to the procedure area after informed consent was obtained. The risks, benefits, and alternatives of transesophageal echocardiographic assessment were explained, and the patient and family voiced understanding and agreed to proceed.
Following adequate topical and intravenous sedation, the patient had blind esophageal intubation performed of the oropharynx in the usual manner. Images were made from the transgastric and transesophageal planes easily and without complications.
At the conclusion, the transesophageal probe was removed, and the patient was taken back to his room in stable condition.
Findings: Globally preserved left ventricular systolic function with visually estimated ejection fraction of 65% with normal regional wall motion in all segments. Trileaflet aortic valve with central mild aortic insufficiency. Large ascending aorta. Structurally normal-appearing mitral valve with a trace to 1+ mitral regurgitation. The intraatrial septum has a very large aneurysmal redundant segment bulging right to left. Color Doppler flow shows right-to-left shunting of the small area at the base of this aneurysmal dilatation. In addition, a contrast bubble study demonstrates free right-to-left shunting at the base of this aneurysmal intraatrial septal membrane. This is the obvious source for paradoxical embolus and right-to-left shunting and should be chronically anticoagulated. The left atrial appendage is well visualized with no evidence of thrombus. It is contracting nicely and has velocities in excess of 100 cm per second. No evidence of spontaneous echo contrast to suggest source of emboli from the left side of the heart. There is no left ventricular or left atrial thrombus identified. No pericardial effusion is seen. No intracardiac mass, thrombus or vegetation seen. The descending thoracic aorta is extremely tortuous, with mild intimal thickening but no dissection, aneurysm, or significant atherosclerotic changes identified.
Title of Procedure: M-mode, two-dimensional Doppler, and color Doppler echocardiogram.
Findings: The cardiac chamber sizes are normal. There is mild concentric left ventricular hypertrophy with the interventricular septum and left ventricular free walls measuring 1.1 cm. The left ventricular systolic function is normal with the estimated left ventricular ejection fraction of 60%. There are no wall motion abnormalities. The diastolic compliance of the left ventricle is normal. The valvular structures are grossly normal. Doppler and color Doppler interrogation of the valves reveals no insufficiency or stenosis. There is no pericardial effusion. There are no intracardiac thrombi or valvular vegetations.
Advertising