Real Time Three‐dimensional Transesophageal Echocardiography: A Novel Approach for the Assessment of Prosthetic Heart Valves

Anwar, Ashraf M.; Nosir, Youssef F.M.; Alasnag, Mirvat; Chamsi‐Pasha, Hassan

doi:10.1111/echo.12327

Cited by 37 publications

(41 citation statements)

References 22 publications

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“…In addition, color Doppler 3D TEE can delineate the location of the paravalvular MR, especially useful for transcatheter closure of the leak [65,66,67,68]. In our study, color Doppler 3D TEE showed the exact location of the circumferential orifice of paravalvular regurgitation around the artificial MV, thus assisting the transcatheter device closure procedure [66].…”

Section: Mitral Regurgitationmentioning

confidence: 73%

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Role of modern 3D echocardiography in valvular heart disease

Shiota

2014

Korean J Intern Med

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Three-dimensional (3D) echocardiography has been conceived as one of the most promising methods for the diagnosis of valvular heart disease, and recently has become an integral clinical tool thanks to the development of high quality real-time transesophageal echocardiography (TEE). In particular, for mitral valve diseases, this new approach has proven to be the most unique, powerful, and convincing method for understanding the complicated anatomy of the mitral valve and its dynamism. The method has been useful for surgical management, including robotic mitral valve repair. Moreover, this method has become indispensable for nonsurgical mitral procedures such as edge to edge mitral repair and transcatheter closure of paravaluvular leaks. In addition, color Doppler 3D echo has been valuable to identify the location of the regurgitant orifice and the severity of the mitral regurgitation. For aortic and tricuspid valve diseases, this method may not be quite as valuable as for the mitral valve. However, the necessity of 3D echo is recognized for certain situations even for these valves, such as for evaluating the aortic annulus for transcatheter aortic valve implantation. It is now clear that this method, especially with the continued development of real-time 3D TEE technology, will enhance the diagnosis and management of patients with these valvular heart diseases.

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Section: Mitral Regurgitationmentioning

confidence: 73%

“…Regarding postoperative evaluation of MV repair or replacement, 3D TEE has been shown to facilitate visualization of the entire structure of the new artificial valve [65]. In addition, color Doppler 3D TEE can delineate the location of the paravalvular MR, especially useful for transcatheter closure of the leak [65,66,67,68].…”

Section: Mitral Regurgitationmentioning

confidence: 99%

Role of modern 3D echocardiography in valvular heart disease

Shiota

2014

Korean J Intern Med

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“…Echocardiography is a first-line tool for non-invasive study of cardiac diseases due to its high temporal and special resolution, as well as its low cost, portability, lack of radiation, and ability to evaluate anatomic and functional information [4]. Spatial resolution better than 100 μm and temporal resolution better than 600 frames/sec are now available for practical applications.…”

Section: Spatial and Temporal Resolution Of Echocardiography And Cardmentioning

confidence: 99%

Postoperative Complications after Surgical Aortic Valve Replacement

Koo

Lee

Anh

et al. 2017

Cardiovasc Imaging Asia

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Aortic valve replacement is one of the most common major cardiac surgeries worldwide. Despite improvements in surgical techniques, postoperative complications after aortic valve surgery remain a source of substantial morbidity and mortality. Although transthoracic echocardiography and transesophageal echocardiography have been used for routine surveillance of prosthetic heart valves, computed tomography (CT) has played an important role with echocardiography in the diagnosis, treatment, and follow-up of patients after valve replacement. CT has the advantage of evaluating the extent of disease, such as paravalvular dehiscence, abscess, and pseudoaneurysm, in aortic prosthetic valves. In this article, we review the various image findings of postoperative complications after aortic valve replacement detected on CT.

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“…94 As for the postoperative evaluation of MV surgery, either repair or replacement, 3D TEE has proven to be important for visualizing the entire structure of the new artificial valve. 95 In addition, color Doppler 3D TEE can delineate the location of any paravalvular MR, especially for transcatheter closure of the leak. 95-98 In our study, color Doppler 3D TEE showed the exact location of the circumferential orifice of paravalvular regurgitation around the artificial MV and thus was able to effectively assist with transcatheter device closure procedure.…”

Section: Rv Volume and Functionmentioning

confidence: 99%

Clinical Application of 3-Dimensional Echocardiography in the USA

Shiota

2015

Circ J

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Three-dimensional (3D) echocardiography is one of the most promising methods for the diagnosis of cardiac disease. Left and right ventricular size and function are currently evaluated with 2D echocardiography. However, for unpredictable asymmetry of the chamber geometry, conventional 2D echocardiography cannot be used to accurately determine absolute chamber volumes and ejection fraction. As for valvular heart diseases, the 3D echo approach has proven to be the most unique, powerful, and convincing method for understanding the complicated anatomy of the valves and their dynamism. The method has been useful for surgical management, including robotic mitral valve repair. Moreover, this method has become indispensable for nonsurgical procedures such as edge-to-edge mitral valve repair. Color Doppler 3D echo has also been valuable to identify the location of the regurgitant orifice, and the severity and character of the valvular regurgitation. In addition, 3D echo is invaluable in the diagnosis and management of congenital heart disease and in certain other situations, such as evaluation of the aortic annulus for transcatheter aortic valve implantation or replacement. It is now clear that 3D echocardiography, especially with the continued development of real-time 3D transesophageal echo technology, will enhance the diagnosis and management of patients with heart diseases. (Circ J 2015; 79: 2287 -2298

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Real Time Three‐dimensional Transesophageal Echocardiography: A Novel Approach for the Assessment of Prosthetic Heart Valves

Abstract: Real time 3DTEE improved the anatomical and functional assessment of PV with better understanding of the underlying causes of PV dysfunction; hence, it could improve the management planning for such patients.

Cited by 37 publications

References 22 publications

Role of modern 3D echocardiography in valvular heart disease

Role of modern 3D echocardiography in valvular heart disease

Postoperative Complications after Surgical Aortic Valve Replacement

Clinical Application of 3-Dimensional Echocardiography in the USA

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