01/10/2025
Sehr schöne Übersicht - im zim9 - ist diese Abklärung mittels TEE ( Schluckecho) möglich. Ihr Herzteam
Schematic presentation of the most frequent sources for cardiovascular embolism.
a. The most common localization of LV thrombi, usually the result of regional akinesia due to a previous MI, is the LV apex, which is ideally visualized on the apical 4-chamber view of the TTE.
b. Typical presentation of a LAA thrombus on a TEE mid-esophageal 2-chamber view at about 90°.
c. Transthoracic apical 4-chamber-view demonstrating the pronounced dilation of the LV in case of a dilated cardiomyopathy (left) and the multiple prominent ventricular trabeculations with intertrabecular spaces seen in non-compaction (right).
d. The usually valve associated papillary (PFE) and , typically located in the atria, are the most common primary cardiac tumors in adults, which are both associated with a high risk of embolism (TTE parasternal long-axis view).
e. Bubble transition from the right to LA (positive “bubble test”) in case of a patent foramen ovale documented using a TEE mid-esophageal bicaval view at about 110°.
f. Vegetations, a main criterion for (here mitral valve endocarditis diagnosed in a mid-esophageal longitudinal axis view of the LV at about 120° in the TEE examination; left), and prosthetic valves (here double-wing prosthesis of the MV shown in a parasternal longitudinal axis view of the TTE; right) are further potential sources of .
g. Aortic atheroma ≥ 4 mm have been associated with ischemic stroke and can be detected during retraction of the TEE probe at the end of the examination (here mid-esophageal short (left) and long (right) axis view of the ascending aorta).
https://link.springer.com/article/10.1007/s11910-020-01053-3
