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Breaking the ice with ICE
  • +3
  • Charlene Rohm,
  • Brian Howard,
  • Baqir Lakhani,
  • Marian Wilim,
  • Rachel Waters,
  • David Snipelisky
Charlene Rohm
WellStar Kennestone Hospital
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Brian Howard
WellStar Kennestone Hospital
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Baqir Lakhani
WellStar Kennestone Hospital
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Marian Wilim
WellStar Kennestone Hospital
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Rachel Waters
WellStar Kennestone Hospital
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David Snipelisky
WellStar Kennestone Hospital
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Abstract

Aortic insufficiency with recirculation syndrome can be a difficult diagnosis to make in patients with continuous flow left ventricular assist devices as it is generally underestimated by traditional transthoracic echocardiography. Transesophageal echocardiography can also underestimate aortic insufficiency and requires general anesthesia, which can be prohibitive in some cases. This case study demonstrates a novel use of intracardiac echocardiography to evaluate for and troubleshoot complications associated with continuous flow left ventricular assist devices. Intracardiac echocardiography was able to rule out aortic insufficiency in our patient, thereby preventing unnecessary procedures such as a valvular intervention.