Abstract
The aim of the study was to evaluate the additional diagnostic value of real-time 3-dimensional transesophageal echocardiography (RT3D-TEE) for surgically recognized mitral valve (MV) prolapse anatomy compared to 2-dimensional transthoracic echocardiography (2D-TTE), 2D-transesophageal echocardiography (2D-TEE), and real-time 3D-transthoracic echocardiography (RT3D-TTE). We preoperatively analyzed 222 consecutive patients undergoing repair for prolapse-related mitral regurgitation using RT3D-TEE, 2D-TEE, RT3D-TTE, and 2D-TTE. Multiplanar reconstruction was added to volume-rendered RT3D-TEE for quantitative prolapse recognition. The echocardiographic data were compared to the surgical findings. Per-patient analysis of RT3D-TEE identified prolapse in 204 patients more accurately (92%) than 2D-TEE (78%), RT3D-TTE (80%), and 2D-TTE (54%). Even among those 60 patients with complex prolapse (>1 segment localization or commissural lesions), RT3D-TEE correctly identified 58 (96.5%) compared to 42 (70%), 31 (52%), and 21 (35%) detected by 2D-TEE, RT3D-TTE, and 2D-TTE (p <0.0001). Multiplanar reconstruction enabled RT3D-TEE to differentiate dominant (
| Original language | English |
|---|---|
| Pages (from-to) | 1365-1374 |
| Number of pages | 10 |
| Journal | The American Journal of Cardiology |
| Volume | 107 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - May 1 2011 |
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ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
Real-time three-dimensional transesophageal echocardiography for assessment of mitral valve functional anatomy in patients with prolapse-related regurgitation. / La Canna, Giovanni; Arendar, Iryna; Maisano, Francesco; Monaco, Fabrizio; Collu, Egidio; Benussi, Stefano; De Bonis, Michele; Castiglioni, Alessandro; Alfieri, Ottavio.
In: The American Journal of Cardiology, Vol. 107, No. 9, 01.05.2011, p. 1365-1374.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Real-time three-dimensional transesophageal echocardiography for assessment of mitral valve functional anatomy in patients with prolapse-related regurgitation
AU - La Canna, Giovanni
AU - Arendar, Iryna
AU - Maisano, Francesco
AU - Monaco, Fabrizio
AU - Collu, Egidio
AU - Benussi, Stefano
AU - De Bonis, Michele
AU - Castiglioni, Alessandro
AU - Alfieri, Ottavio
PY - 2011/5/1
Y1 - 2011/5/1
N2 - The aim of the study was to evaluate the additional diagnostic value of real-time 3-dimensional transesophageal echocardiography (RT3D-TEE) for surgically recognized mitral valve (MV) prolapse anatomy compared to 2-dimensional transthoracic echocardiography (2D-TTE), 2D-transesophageal echocardiography (2D-TEE), and real-time 3D-transthoracic echocardiography (RT3D-TTE). We preoperatively analyzed 222 consecutive patients undergoing repair for prolapse-related mitral regurgitation using RT3D-TEE, 2D-TEE, RT3D-TTE, and 2D-TTE. Multiplanar reconstruction was added to volume-rendered RT3D-TEE for quantitative prolapse recognition. The echocardiographic data were compared to the surgical findings. Per-patient analysis of RT3D-TEE identified prolapse in 204 patients more accurately (92%) than 2D-TEE (78%), RT3D-TTE (80%), and 2D-TTE (54%). Even among those 60 patients with complex prolapse (>1 segment localization or commissural lesions), RT3D-TEE correctly identified 58 (96.5%) compared to 42 (70%), 31 (52%), and 21 (35%) detected by 2D-TEE, RT3D-TTE, and 2D-TTE (p <0.0001). Multiplanar reconstruction enabled RT3D-TEE to differentiate dominant (
AB - The aim of the study was to evaluate the additional diagnostic value of real-time 3-dimensional transesophageal echocardiography (RT3D-TEE) for surgically recognized mitral valve (MV) prolapse anatomy compared to 2-dimensional transthoracic echocardiography (2D-TTE), 2D-transesophageal echocardiography (2D-TEE), and real-time 3D-transthoracic echocardiography (RT3D-TTE). We preoperatively analyzed 222 consecutive patients undergoing repair for prolapse-related mitral regurgitation using RT3D-TEE, 2D-TEE, RT3D-TTE, and 2D-TTE. Multiplanar reconstruction was added to volume-rendered RT3D-TEE for quantitative prolapse recognition. The echocardiographic data were compared to the surgical findings. Per-patient analysis of RT3D-TEE identified prolapse in 204 patients more accurately (92%) than 2D-TEE (78%), RT3D-TTE (80%), and 2D-TTE (54%). Even among those 60 patients with complex prolapse (>1 segment localization or commissural lesions), RT3D-TEE correctly identified 58 (96.5%) compared to 42 (70%), 31 (52%), and 21 (35%) detected by 2D-TEE, RT3D-TTE, and 2D-TTE (p <0.0001). Multiplanar reconstruction enabled RT3D-TEE to differentiate dominant (
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U2 - 10.1016/j.amjcard.2010.12.048
DO - 10.1016/j.amjcard.2010.12.048
M3 - Article
C2 - 21371680
AN - SCOPUS:79954590416
VL - 107
SP - 1365
EP - 1374
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 9
ER -