The routine use of live three-dimensional transesophageal echocardiography in mitral valve surgery: clinical experience.
Eur J Echocardiogr
; 11(1): 14-8, 2010 Jan.
Article
em En
| MEDLINE
| ID: mdl-19933520
ABSTRACT
BACKGROUND:
Perioperative monitoring of mitral valve (MV) anatomy, function, and pathology is essential for surgical management of different MV disease.AIMS:
To overcome the several potential pitfalls of two-dimensional transesophageal echocardiography (2D TEE) and offline 3D TEE.METHODS:
Live 3D TEE was used to assess 73 patients (44 men and 29 women) with Carpentier type II MV regurgitation undergoing MV surgery perioperatively.RESULTS:
The isolated segment most frequently involved was A2/P2, but A1or P1 rarely was involved in an isolated lesion or combined lesions. The agreement between 3D TEE finding and surgery was 88% (64/73). In nine patients, the live 3D TEE images revealed more segments or scallops with prolapse than the surgeon noted intraoperatively.CONCLUSIONS:
Live 3D TEE allows more sensitivity and was feasible identification of prolapse or flail of individual segments of MV leaflets during surgery. We conclude that live 3D TEE should be regarded as an important adjunct to the standard 2D TEE examination in making decisions about MV surgery.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Ecocardiografia Transesofagiana
/
Ecocardiografia Tridimensional
/
Valva Mitral
/
Insuficiência da Valva Mitral
Tipo de estudo:
Evaluation_studies
/
Prognostic_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Echocardiogr
Assunto da revista:
CARDIOLOGIA
/
DIAGNOSTICO POR IMAGEM
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Taiwan