| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2004;78:575-578
© 2004 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, Herzzentrum University of Leipzig, Leipzig, Germany
Accepted for publication October 3, 2003.
* Address reprint requests to Dr Fabricius, Division of Cardiovascular Surgery, Herzzentrum Leipzig, Strümpelstr 39, 04289 Leipzig, Germany.
e-mail: faba{at}medizin.uni-leipzig.de
BACKGROUND: Two-dimensional transesophageal echocardiographic (2D TEE) assessment of the mitral valve requires mental integration of a limited number of 2D imaging planes. Structural display in three dimensions from any perspective may be of advantage to the surgeon for better judgment and planning.
METHODS: Feasibility, accuracy, and limitations of preoperative three-dimensional transesophageal echocardiography (3D TEE) was assessed in 51 patients with mitral valve disease. The width of the anterior mitral valve was measured with either method and compared with the operative finding. Three-dimensional dynamic sequences of the reconstructed mitral valve were shown preoperatively to the surgeon and later compared with the intraoperative finding.
RESULTS: The quality of the 3D reconstruction was graded as good in 25 patients (49.0%), fair in 16 patients (31.4%), and poor in 10 patients (19.6%) where atrial fibrillation did not allow ECG gating. Thirty-nine patients had successful mitral valve repair and twelve patients required valve replacement. Based on intraoperative findings, sensitivity for the diagnosis of mitral valve prolapse using 2D TEE and 3D TEE was 97.7% and 92.9% (p = ns) respectively and specificity was 100% by both methods. Sensitivity for the diagnosis of rupture of chordae tendineae using 2D TEE and 3D TEE was 92.3% and 30.8% respectively (p < 0.05) and specificity was 100% by both methods.
CONCLUSIONS: Dynamic 3D echocardiography is feasible and can provide good insight into valvular motion and allows adequate preoperative planning when reconstruction is being considered. However dynamic 3D reconstruction is currently limited by the quality of the original 2D echo cross sectional images which can be adversely affected by minimal patient movements, breathing, or cardiac arrhythmia, thus limiting accuracy of the 3D TEE significantly compared with 2D TEE.
This article has been cited by other articles:
|
|
 |
|
  T. Bharucha, K. S. Roman, R. H. Anderson, and J. J. Vettukattil Impact of Multiplanar Review of Three-Dimensional Echocardiographic Data on Management of Congenital Heart Disease Ann. Thorac. Surg., September 1, 2008; 86(3): 875 - 881. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Bharucha, S. Y. Ho, and J. J. Vettukattil Multiplanar review analysis of three-dimensional echocardiographic datasets gives new insights into the morphology of subaortic stenosis Eur J Echocardiogr, September 1, 2008; 9(5): 614 - 620. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. P. Hoole, T. V. Liew, J. Boyd, F. C. Wells, and R. A. Rusk Transthoracic real-time three-dimensional echocardiography offers additional value in the assessment of mitral valve morphology and area following mitral valve repair Eur J Echocardiogr, September 1, 2008; 9(5): 625 - 630. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kondur, S. Pitta, and L. Afonso Incremental utility of real-time three-dimensional echocardiography in the diagnosis and preoperative assessment of cleft mitral valve in adults Eur J Echocardiogr, July 1, 2008; 9(4): 586 - 588. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G.J. Morgan, F. Casey, B. Craig, and A. Sands Assessing ASDs prior to device closure using 3D echocardiography. Just pretty pictures or a useful clinical tool? Eur J Echocardiogr, July 1, 2008; 9(4): 478 - 482. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. I. Fann, N. B. Ingels Jr., and D. C. Miller Pathophysiology of Mitral Valve Disease Card. Surg. Adult, January 1, 2008; 3(2008): 973 - 1012. [Full Text]
|
|
|
|
 |
|
 L. P. Ryan, B. M. Jackson, Y. Enomoto, L. Parish, T. J. Plappert, M. G. St. John-Sutton, R. C. Gorman, and J. H. Gorman III Description of regional mitral annular nonplanarity in healthy human subjects: A novel methodology J. Thorac. Cardiovasc. Surg., September 1, 2007; 134(3): 644 - 648. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Maselli, R. De Paulis, L. Weltert, A. Salica, R. Scaffa, A. Bellisario, and A. Mingiano A new method for artificial chordae length "tuning" in mitral valve repair: Preliminary experience J. Thorac. Cardiovasc. Surg., August 1, 2007; 134(2): 454 - 459. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Pepi, G. Tamborini, A. Maltagliati, C. A. Galli, E. Sisillo, L. Salvi, M. Naliato, M. Porqueddu, A. Parolari, M. Zanobini, et al. Head-to-Head Comparison of Two- and Three-Dimensional Transthoracic and Transesophageal Echocardiography in the Localization of Mitral Valve Prolapse J. Am. Coll. Cardiol., December 19, 2006; 48(12): 2524 - 2530. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. De Castro, V. Salandin, E. Cavarretta, L. Salvador, C. Valfre, S. Caselli, S. Di Michele, F. Faletra, and N. G. Pandian Epicardial Real-Time Three-Dimensional Echocardiography in Cardiac Surgery: A Preliminary Experience Ann. Thorac. Surg., December 1, 2006; 82(6): 2254 - 2259. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. M. Lang, V. Mor-Avi, L. Sugeng, P. S. Nieman, and D. J. Sahn Three-Dimensional Echocardiography: The Benefits of the Additional Dimension J. Am. Coll. Cardiol., November 21, 2006; 48(10): 2053 - 2069. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
