Reference : Multiplane two-dimensional versus real time three-dimensional transesophageal echocardio...
Scientific journals : Article
Human health sciences : General & internal medicine
http://hdl.handle.net/2268/109735
Multiplane two-dimensional versus real time three-dimensional transesophageal echocardiography in ischemic mitral regurgitation.
English
Fattouch, K. [ > > ]
Castrovinci, S. [ > > ]
Murana, G. [ > > ]
Novo, G. [ > > ]
Caccamo, G. [ > > ]
Bertolino, E. C. [ > > ]
Sampognaro, R. [ > > ]
Novo, S. [ > > ]
Ruvolo, G. [ > > ]
Lancellotti, Patrizio mailto [Université de Liège - ULg > Département des sciences cliniques > Imagerie cardiaque fonctionnelle par échographie >]
28-Nov-2011
Echocardiography
Future Pub Co
Yes (verified by ORBi)
International
0742-2822
1540-8175
Armonk
NY
[en] real time 3D echocardiography ; ischemic mitral regurgitation ; transesophageal echocardiography
[en] OBJECTIVES: Intraoperative three-dimensional (3D) transesophageal echocardiography (TEE) has been suggested to be a valuable technique for the evaluation of the mechanisms of ischemic mitral regurgitation (IMR). Studies comparing multiplane two-dimensional (2D) with 3D TEE reconstruction of the mitral valve using the new mitral valve quantification (MVQ) software are lacking. We undertook a prospective comparison between multiplane 2D and 3D TEE for the assessment of IMR.
METHODS: We evaluated echocardiographically 45 patients with IMR who underwent mitral valve surgery in our institution. 2D and 3D TEE examinations followed by a 3D offline assessment of the mitral valve apparatus were performed in all patients. Offline analysis of mitral valve apparatus was conducted with QLAB-MVQ.
RESULTS: 3D TEE image acquisitions were performed in a short period of time and were feasible in all patients. Real time 3D TEE imaging was superior to 2D in identifying specific mitral scallops (A1, A3, P1, P3) and commissures. When compared with 2D TEE, 3D offline reconstruction of the mitral valve allows an accurate quantification of the shape and diameters of the mitral annulus. Both approaches provide almost similar values for the tenting area and the coaptation depth. The 3D approach gave the advantage of direct calculation of the leaflets angles, tenting volume, and surface of the leaflets. The interpapillary muscles distance at the level of the papillary muscle head was greater in 2D than in 3D.
CONCLUSIONS: 3D TEE imaging provides valuable and complementary information to multiplane 2D TEE for the assessment of patients with IMR.
Service de Cardiologie
Researchers ; Professionals
http://hdl.handle.net/2268/109735
10.1111/j.1540-8175.2011.01528.x
http://onlinelibrary.wiley.com/doi/10.1111/j.1540-8175.2011.01528.x/pdf

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