Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 1087–1089 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Diagnostic Dilemma Unusual Echolucency Seen After Bacterial Endocarditis Morgan Marino, MD, Christoforos Frangopoulos, Priya A. Kumar, MD, Meena Bhatia, MD Department of Anesthesiology, University of North Carolina School of Medicine, Chapel Hill, NC Key Words: Bacterial endocarditis; arteriovenous ﬁstula; coronary sinus; right coronary artery A 52-YEAR-OLD, 169-cm, 99-kg man presented to the authors’ institution with dyspnea on exertion and progressive exercise intolerance. Three months before presentation, he was diagnosed with aortic valve endocarditis. The bacteria were identiﬁed as Viridans streptococci, and the patient underwent 6 weeks of antibiotic treatment, with resolution of his symptoms. The patient subsequently developed atrial ﬁbrilla- tion, and transthoracic echocardiography demonstrated a dilated right atrium, an ejection fraction of 45% to 50%, and Fig 2. Midesophageal 2-chamber transesophageal echocardiographic image with color Doppler showing turbulent ﬂow in the coronary sinus. Fig 1. A midesophageal 2-chamber transesophageal echocardiographic image showing enlarged coronary sinus. Address reprint requests to Meena Bhatia, MD, Department of Anesthe- siology, University of North Carolina School of Medicine, N2198 UNC Fig 3. Three-dimensional image obtained by advancing the probe from
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera