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Ischemic Cerebrovascular Event during Transesophageal Echocardiography

Year 2014, Volume: 4 Issue: 2 EK, 100 - 84, 11.09.2014

Abstract

In patient with recurrent ischemic cerebrovascular events, left atrial thrombus have showed by transthoracic echocardiography and then we have planned by transesophageal echocardiography (TEE). In TEE, thrombus. demonstrated as 30x31mm in size, heterogeneous. The patient was worsened during the evaluation and we diagnosed cerebrovascular event.This experience made that during TEE retching and vagal maneuvers may cause stroke.

               

 

References

  • Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 2007;28:230–268.
  • Kaymaz C, Ozdemir N, Kirma C, Sişmanoglu M, Daglar B, Ozkan M. Location, size and morphological characteristics of left atrial thrombi as assessed by echocardiography in patients with rheumatic mitral valve disease. Eur J Echocardiogr 2001;2:270–276.
  • Goswami KC, Yadav R, Bahl VK: Predictors of left atrial appendage clot: a transesophageal echocardiographic study of left atrial appendage function in patients with severe mitral stenosis. Indian Heart J. 56: 628-35, 2004.
  • Rost C, Daniel WG, Schmid M. Giant left atrial thrombus in moderate mitral stenosis. Eur J Echocardiogr 2009;10:358–359.
  • Marcu C, Kramer C, Donohue T. Giant left atrial thrombus successfully treated with anticoagulation. Heart Lung Circ 2007;16:55–56.
  • Shah CP, Thakur RK, Ip JH, Xie B, Guiraudon GM. Management of mobile right atrial thrombi: a therapeutic dilemma. J Card Surg.1996;11:428–31.
  • Cavero MA, Cristobal C, Gonzalez M, Callego JC, Oteo JF, Artaza M. Fatal pulmonary embolization of a right atrial mass during transesophageal echocardiography. J Am Soc Echocardiogr. 1998;11:397–8.
  • Black IW, Cranney GB, Walsh WF, Brender D. Embolization of a left atrial ball thrombus during transesophageal echocardiography. J Am Soc Echocardiogr. 1992;5:271–3.
  • Kim CM, Yu SC, Hong SJ. Cardiac tamponade during transesophageal echocardiography in the patient of circumferential aortic dissection. J Korean Med Sci. 1997;12:266–8.

Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay

Year 2014, Volume: 4 Issue: 2 EK, 100 - 84, 11.09.2014

Abstract

Tekrarlayan iskemik serebrovasküler olay öyküsü olan hastaya yapılan transtorasik ekokardiyografide sol atriyumda trombüs ile uyumlu görünüm izlendi. Bunun  üzerine hastaya transözefagial ekokardiyografi (TEE) planlandı. TEE’de sol atriyumda saplı, 30x31mm boyutunda, heterojen trombüs ile uyumlu görünüm izlendi. TEE sırasında genel durumu kötüleşen sonrası iskemik serebrovasküler olay teşhisi konuldu. Bu tecrübeyle TEE sırasında yapılan öğürme ve vagal manevraların sol taraflı kitlelerin kopup inmeye neden olabileceğini göstermek istedik.

 

 

References

  • Vahanian A, Baumgartner H, Bax J, et al. Guidelines on the management of valvular heart disease: The Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology. Eur Heart J 2007;28:230–268.
  • Kaymaz C, Ozdemir N, Kirma C, Sişmanoglu M, Daglar B, Ozkan M. Location, size and morphological characteristics of left atrial thrombi as assessed by echocardiography in patients with rheumatic mitral valve disease. Eur J Echocardiogr 2001;2:270–276.
  • Goswami KC, Yadav R, Bahl VK: Predictors of left atrial appendage clot: a transesophageal echocardiographic study of left atrial appendage function in patients with severe mitral stenosis. Indian Heart J. 56: 628-35, 2004.
  • Rost C, Daniel WG, Schmid M. Giant left atrial thrombus in moderate mitral stenosis. Eur J Echocardiogr 2009;10:358–359.
  • Marcu C, Kramer C, Donohue T. Giant left atrial thrombus successfully treated with anticoagulation. Heart Lung Circ 2007;16:55–56.
  • Shah CP, Thakur RK, Ip JH, Xie B, Guiraudon GM. Management of mobile right atrial thrombi: a therapeutic dilemma. J Card Surg.1996;11:428–31.
  • Cavero MA, Cristobal C, Gonzalez M, Callego JC, Oteo JF, Artaza M. Fatal pulmonary embolization of a right atrial mass during transesophageal echocardiography. J Am Soc Echocardiogr. 1998;11:397–8.
  • Black IW, Cranney GB, Walsh WF, Brender D. Embolization of a left atrial ball thrombus during transesophageal echocardiography. J Am Soc Echocardiogr. 1992;5:271–3.
  • Kim CM, Yu SC, Hong SJ. Cardiac tamponade during transesophageal echocardiography in the patient of circumferential aortic dissection. J Korean Med Sci. 1997;12:266–8.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Mustafa Dağlı This is me

Orhan Doğdu

Tolga Çakmak This is me

Murat Harman This is me

Mehmet Kobat This is me

Publication Date September 11, 2014
Published in Issue Year 2014 Volume: 4 Issue: 2 EK

Cite

APA Dağlı, M., Doğdu, O., Çakmak, T., Harman, M., et al. (2014). Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay. Çağdaş Tıp Dergisi, 4(2 EK), 100-84.
AMA Dağlı M, Doğdu O, Çakmak T, Harman M, Kobat M. Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay. J Contemp Med. October 2014;4(2 EK):100-84.
Chicago Dağlı, Mustafa, Orhan Doğdu, Tolga Çakmak, Murat Harman, and Mehmet Kobat. “Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay”. Çağdaş Tıp Dergisi 4, no. 2 EK (October 2014): 100-84.
EndNote Dağlı M, Doğdu O, Çakmak T, Harman M, Kobat M (October 1, 2014) Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay. Çağdaş Tıp Dergisi 4 2 EK 100–84.
IEEE M. Dağlı, O. Doğdu, T. Çakmak, M. Harman, and M. Kobat, “Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay”, J Contemp Med, vol. 4, no. 2 EK, pp. 100–84, 2014.
ISNAD Dağlı, Mustafa et al. “Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay”. Çağdaş Tıp Dergisi 4/2 EK (October 2014), 100-84.
JAMA Dağlı M, Doğdu O, Çakmak T, Harman M, Kobat M. Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay. J Contemp Med. 2014;4:100–84.
MLA Dağlı, Mustafa et al. “Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay”. Çağdaş Tıp Dergisi, vol. 4, no. 2 EK, 2014, pp. 100-84.
Vancouver Dağlı M, Doğdu O, Çakmak T, Harman M, Kobat M. Transözefageal Ekokardiyografi Yaparken Görülen İskemik Serebrovasküler Olay. J Contemp Med. 2014;4(2 EK):100-84.