Contribution of three dimentional echocardiography Xplane mode in the
evaluation of semilunar cusps: two different case reports
Orthogonal-biplane imaging (xplane) is a relatively new tool and
provides comprehensive information about mitral valve and left atrial
appendage evaluation. On the other hand, x plane method is a promising
method in diagnosis of semilunar valve pathologies. Below, we report two
cases, in which xplane method was used in order to clairify diagnosis.
Case 1 : 63 year old male patient with dyspnea admitted to our clinic.
Right ventricular dilatation and hypertrophy were assessed. In order to
determine the exact reason of right ventricular pressure overload,
pulmonary valve was evaluated by xplane and bicuspid pulmonary valve was
represented.This patient has been undergone to pulmonary valve
percutaneous valvuloplasty. Case 2 48 year-old male patient with historu
of cerebrovascular event was admited to our hospital. His initial
transthorasic and transoesaphageal echocardiography showed hyperechoic
mobile mass on non-coronary cusp. However, after xplane was used to
detect aortic valve,it was the prolapsed part of the non-coronary cusp
adjacent to the commissure.