Skip to main content

Role of 3DE in Assessment of Cardiac Masses: Incremental Value over 2DE

  • Chapter
  • First Online:
Practical 3D Echocardiography

Abstract

Echocardiography remains the imaging modality of choice for the detection and assessment of intra-cardiac masses (typically thrombi, tumors, and vegetations). There is an incremental value to three-dimensional echocardiography (3DE) over two-dimensional echocardiography (2DE) in the evaluation of intra-cardiac masses. 3DE and in particular 3DTEE provides unprecedented en-face anatomic details of intra-cardiac masses and their relationship to surrounding structures in a 3D space that simulates reality, and from a single acoustic window, thus obviating the need for probe manipulation including off-axis imaging that is often necessary with 2DE. 2DE is also limited by the finite width of the tomographic slices. Moreover, size, shape, and inner composition of cardiac masses can be assessed using 3D cropping tools including multiplanar reconstruction of the 3D volumetric data set.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25:3–46.

    Article  Google Scholar 

  2. Sommer M, Roehrich A, Boenner F, Aissa J, Kropil P, Antoch G, et al. Value of 3D TEE for LAA morphology. JACC Cardiovasc Imaging. 2015;8:1107–10.

    Article  Google Scholar 

  3. Cresti A, Chiavarelli M, Glauber M, Tanganelli P, Scalese M, Cesareo F, et al. Incidence rate of primary cardiac tumors: a 14-year population study. J Cardiovasc Med (Hagerstown). 2016;17:37–43.

    Article  Google Scholar 

  4. Vander Salm TJ. Unusual primary tumors of the heart. Semin Thorac Cardiovasc Surg. 2000;12:89–100.

    Article  CAS  Google Scholar 

  5. Kuon E, Kreplin M, Weiss W, Dahm JB. The challenge presented by right atrial myxoma. Herz. 2004;29:702–9.

    Article  Google Scholar 

  6. Jain D, Maleszewski JJ, Halushka MK. Benign cardiac tumors and tumorlike conditions. Ann Diagn Pathol. 2010;14:215–30.

    Article  Google Scholar 

  7. Gowda RM, Khan IA, Nair CK, Mehta NJ, Vasavada BC, Sacchi TJ. Cardiac papillary fibroelastoma: a comprehensive analysis of 725 cases. Am Heart J. 2003;146:404–10.

    Article  Google Scholar 

  8. Sun JP, Asher CR, Yang XS, Cheng GG, Scalia GM, Massed AG, et al. Clinical and echocardiographic characteristics of papillary fibroelastomas: a retrospective and prospective study in 162 patients. Circulation. 2001;103:2687–93.

    Article  CAS  Google Scholar 

  9. Shirani J, Roberts WC. Clinical, electrocardiographic and morphologic features of massive fatty deposits (“lipomatous hypertrophy”) in the atrial septum. J Am Coll Cardiol. 1993;22:226–38.

    Article  CAS  Google Scholar 

  10. Laura DM, Donnino R, Kim EE, Benenstein R, Freedberg RS, Saric M. Lipomatous atrial septal hypertrophy: a review of its anatomy, pathophysiology, multimodality imaging, and relevance to percutaneous interventions. J Am Soc Echocardiogr. 2016;29:717–23.

    Article  Google Scholar 

  11. Thomas-de-Montpreville V, Nottin R, Dulmet E, Serraf A. Heart tumors in children and adults: clinicopathological study of 59 patients from a surgical center. Cardiovasc Pathol. 2007;16:22–8.

    Article  Google Scholar 

  12. Yang HS, Arabia FA, Chaliki HP, De Petris G, Khandheria BK, Chandrasekaran K. Images in cardiovascular medicine. Left atrial fibroma in Gardner syndrome: real-time 3-dimensional transesophageal echo imaging. Circulation. 2008;118:e692–6.

    PubMed  Google Scholar 

  13. Lepidi H, Casalta JP, Fournier PE, Habib G, Collart F, Raoult D. Quantitative histological examination of bioprosthetic heart valves. Clin Infect Dis. 2006;42:590–6.

    Article  Google Scholar 

  14. Cahill TJ, Prendergast BD. Infective endocarditis. Lancet. 2016;387:882–93.

    Article  Google Scholar 

  15. Li JS, Sexton DJ, Mick N, Nettles R, Fowler VG Jr, Ryan T, et al. Proposed modifications to the Duke criteria for the diagnosis of infective endocarditis. Clin Infect Dis. 2000;30:633–8.

    Article  CAS  Google Scholar 

  16. Bruun NE, Habib G, Thuny F, Sogaard P. Cardiac imaging in infectious endocarditis. Eur Heart J. 2014;35:624–32.

    Article  Google Scholar 

  17. Afonso L, Kottam A, Reddy V, Penumetcha A. Echocardiography in infective endocarditis: state of the art. Curr Cardiol Rep. 2017;19:127.

    Article  Google Scholar 

  18. Pfister R, Betton Y, Freyhaus HT, Jung N, Baldus S, Michels G. Three-dimensional compared to two-dimensional transesophageal echocardiography for diagnosis of infective endocarditis. Infection. 2016;44:725–31.

    Article  Google Scholar 

  19. Liu J, Frishman WH. Nonbacterial thrombotic endocarditis: pathogenesis, diagnosis, and management. Cardiol Rev. 2016;24:244–7.

    Article  Google Scholar 

  20. Roldan CA, Tolstrup K, Macias L, Qualls CR, Maynard D, Charlton G, et al. Libman-sacks endocarditis: detection, characterization, and clinical correlates by three-dimensional transesophageal echocardiography. J Am Soc Echocardiogr. 2015;28:770–9.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Krishnaswamy Chandrasekaran .

Editor information

Editors and Affiliations

Electronic Supplementary Material

(AVI 1077 kb)

(AVI 895 kb)

(AVI 1003 kb)

(AVI 2831 kb)

(AVI 4410 kb)

(MP4 309 kb)

(AVI 10407 kb)

(AVI 12229 kb)

(AVI 10098 kb)

(AVI 12662 kb)

(MP4 1136 kb)

(MP4 994 kb)

(AVI 7023 kb)

(AVI 10292 kb)

(AVI 4555 kb)

(AVI 3511 kb)

(AVI 1815 kb)

(AVI 1470 kb)

(MP4 589 kb)

(AVI 1908 kb)

(AVI 4133 kb)

(AVI 863 kb)

Rights and permissions

Reprints and permissions

Copyright information

© 2022 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yang, H.S., Kim, TY., Maalouf, J.F., Chandrasekaran, K. (2022). Role of 3DE in Assessment of Cardiac Masses: Incremental Value over 2DE. In: Maalouf, J.F., Faletra, F.F., Asirvatham, S.J., Chandrasekaran, K. (eds) Practical 3D Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-030-72941-7_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-72941-7_26

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-72940-0

  • Online ISBN: 978-3-030-72941-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics