The routine use of live three-dimensional transesophageal echocardiography in mitral valve surgery: clinical experience

Wei, Jeng; Hsiung, Ming C.; Tsai, Shen Kou; Ou, Ching-Huei; Chang, Chung-Yi; Chang, Yi‐Cheng; Lee, Kuo Chen; Sue, Sung-How; Chou, Yi-Pen

doi:10.1093/ejechocard/jep173

Cited by 41 publications

(16 citation statements)

References 8 publications

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“…[52][53][54][55][56] However, as of this writing, there is limited information regarding the clinical application of this novel technology to the thoracic aorta. 57 Moreover, 3D TEE has some limitations.…”

Section: Three-dimensional Echocardiographymentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

543

434

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Section: Three-dimensional Echocardiographymentioning

confidence: 99%

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Goldstein

Evangelista

Abbara

et al. 2015

Journal of the American Society of Echocardiography

543

434

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“…Three dimensional transesophageal echocardiography (3D TEE) has been effectively used in both research and clinical settings to visualize and quantify mitral valve morphology and motion in vivo (Abraham et al, 1997; Ahmed et al, 2003; Grewal et al, 2009; Sugeng et al, 2008; Vergnat et al, 2011; Veronesi et al, 2006; Wei et al, 2010). Comprehensive evaluation of 3D valve morphology is essential for the diagnosis and surgical treatment of many valvular heart diseases, especially those associated with complex morphological abnormalities.…”

Section: Introductionmentioning

confidence: 99%

Fully automatic segmentation of the mitral leaflets in 3D transesophageal echocardiographic images using multi-atlas joint label fusion and deformable medial modeling

Pouch¹,

Wang²,

Takabe³

et al. 2014

Medical Image Analysis

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Comprehensive visual and quantitative analysis of in vivo human mitral valve morphology is central to the diagnosis and surgical treatment of mitral valve disease. Real-time 3D transesophageal echocardiography (3D TEE) is a practical, highly informative imaging modality for examining the mitral valve in a clinical setting. To facilitate visual and quantitative 3D TEE image analysis, we describe a fully automated method for segmenting the mitral leaflets in 3D TEE image data. The algorithm integrates complementary probabilistic segmentation and shape modeling techniques (multi-atlas joint label fusion and deformable modeling with continuous medial representation) to automatically generate 3D geometric models of the mitral leaflets from 3D TEE image data. These models are unique in that they establish a shape-based coordinate system on the valves of different subjects and represent the leaflets volumetrically, as structures with locally varying thickness. In this work, expert image analysis is the gold standard for evaluating automatic segmentation. Without any user interaction, we demonstrate that the automatic segmentation method accurately captures patient-specific leaflet geometry at both systole and diastole in 3D TEE data acquired from a mixed population of subjects with normal valve morphology and mitral valve disease.

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“…In the present case study, in addition to ordinary 2D echocardiography, we used real time 3D‐TEE during the operation. This method provides high‐quality 3D mitral images similar to those obtained during surgery and is especially suitable for the precise diagnosis of lesions of the mitral valve and its adjacent structures (e.g., LAA) . The 3D‐TEE clearly showed the position and size of the perivalvular abnormal communication with the incident damage of the LV wall.…”

Section: Discussionmentioning

confidence: 93%

Severe Mitral Regurgitation Caused by Perivalvular Abnormal Communication of the Mitral Valve Due to Blunt Chest Trauma

Xie

et al. 2012

Echocardiography

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Perivalvular leaks are usually caused by suture interruption in prosthetic valves or infective endocarditis. Traumatic mitral annular dehiscence is a very uncommon event. We present a rare case of severe mitral regurgitation secondary to perivalvular abnormal communication in a 35-year-old man with a history of blunt chest trauma. He presented with symptoms of cough and chest tightness for 3 months. Preoperative two-dimensional and real time three-dimensional transesophageal echocardiography clearly showed the position and size of the perivalvular abnormal communication and the incident damage of the left ventricular wall. The patient finally underwent successful surgical repair.

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The routine use of live three-dimensional transesophageal echocardiography in mitral valve surgery: clinical experience

Abstract: 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.

Cited by 41 publications

References 8 publications

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging

Fully automatic segmentation of the mitral leaflets in 3D transesophageal echocardiographic images using multi-atlas joint label fusion and deformable medial modeling

Severe Mitral Regurgitation Caused by Perivalvular Abnormal Communication of the Mitral Valve Due to Blunt Chest Trauma

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