Three-Dimensional Echocardiographic Views of Bicuspid Pulmonic Valve

Cho, Sung Woo; Kim, Byung Gyu; Kim, Deok Hee; Kim, Byung Ok; Goh, Choong Won; Rhee, Kyehan; Byun, Young Sup

doi:10.4250/jcu.2014.22.3.162

Cited by 4 publications

(11 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 Meanwhile TTE, the traditional first step for PV evaluation, infrequently images this valve well, especially in adults. 3,6,17,[21][22][23][24][25][26] Three dimensional TTE image continues to evolve and as a result image quality and resolution also continue to improve, but 3D echo remains even more dependent on image quality than 2D echo. 2,23 A previous study showed 59% of patients had sufficient PV imaging by 3D TTE;…”

Section: Discussionmentioning

confidence: 99%

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

et al. 2019

View full text Add to dashboard Cite

Background The present study designed to evaluate feasibility of transesophageal echocardiographic (TEE) imaging of the pulmonary valve (PV) at the transaortic upper esophageal (TAUE) window. We hypothesized that patients with larger aorta would be more likely to have visualization of the PV from this TAUE window. Methods 2D TEE images of the PV were prospectively acquired by one operator at the TAUE window looking through the aortic arch. Patients were divided into four groups based on image quality of PV (group 1, not visualized; group 2, barely visualized; group 3, sufficient visualization; group 4, excellent visualization). Clinical, echocardiographic, and radiologic parameters were collected. Results A total of 212 consecutive patients (54 ± 14 years, 63.7% male) were enrolled. Group distribution was as follows: group 1, n = 60 (28.3%); group 2 n = 39 (18.4%); group 3, n = 27 (12.7%); group 4, n = 86 (40.6%). There were no differences between groups’ baseline clinical characteristics. There was a weak although statistically negative correlation between PV image quality and aortic arch dimension (r = −0.17 P = 0.01). There was a stronger positive correlation between PV thickness (r = 0.38 P < 0.001) and PV image quality. Retrospective subgroup analysis of 76 patients with recent chest CT showed similar, but not significant trends as by TEE. Conclusion The use of 2D TEE TAUE results in diagnostic image quality of the PV in the majority of patients and outstanding image quality in a subset of patients. PV image quality is negatively affected by increasing aorta diameter and positively affected by PV thickness.

show abstract

Section: Discussionmentioning

confidence: 99%

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Real‐time/Live 3D obtains images from one cardiac cycle; it offers artifact‐free instantaneous imaging but is limited by a narrow acquisition window, the pyramid or technically frustum of data, with a partial volume of the heart 5,13,18,26 . The TEE probe in upper esophageal position can bring the PV into view (Figure 2A–C).…”

Section: D Echocardiography Data Acquisition Applicable For Both Tte ...mentioning

confidence: 99%

“…Two‐dimensional TTE is the conventional first step and is well known as a cost‐effective diagnostic tool for heart valve evaluation. However, PV morphology is challenging for conventional 2D echo because of the anatomic localization of the PV under the sternum, and the basic physics of ultrasound penetration through the chest wall and pulmonary parenchyma 3,13,18,21,25,28,29 . Typically, only two cusps of the PV can be visualized simultaneously by 2D TTE even while utilizing short‐axis views.…”

Section: D Transthoracic Echocardiography In Pv Imagingmentioning

confidence: 99%

Pulmonary valve assessment by three‐dimensional echocardiography

Taşkesen

Gill

2021

Echocardiography

View full text Add to dashboard Cite

The pulmonary valve (PV) has historically been ignored by imaging studies. Disorders of the PV encountered in adult cardiac patients are increasingly encountered due to advanced care of patients with congenital heart disease and associated PV diseases. Despite advances in PV imaging, multiple challenges remain when it comes to obtaining high quality PV images. While 2D TTE is the usual initial imaging tool for PV, excellent views of the PV annulus and its one or two leaflets are obtained in less than half of patients. The 3D echocardiography en face view allows all three leaflets to be evaluated concurrently, as well as assessments of the RV outflow tract and main pulmonary artery, which has improved quantitative assessment of PV diseases. Increasing image quality and experience with live/real time 3D TEE amplifies its utility in accurate evaluation and helps guide and monitor successful percutaneous PV interventions. 2D TTE remains the first line diagnostic tool; however, 3D TTE and 3D TEE provide better image quality which increases diagnostic accuracy and guidance to therapy. In this review article, we stress improvement in 3D echocardiography and its role in diagnostic and therapeutic options for PV diseases.

show abstract

“…1 Although there are a few cases reported in the literature where right-sided heart disease results in modification of the anatomy of the right heart that allows a short-axis view of the pulmonary valve to be obtained from a parasternal window, 2,3 this situation is changing with the gradual introduction into our clinical practice of new imaging techniques such as three-dimensional echocardiography and cardiac MRI that are able to identify such anomalies of the pulmonary valve. 4,5 Neonates and small infants have unique characteristics that make it possible to obtain echocardiographic views that are inaccessible in older patients. In the early stages of life, the sternum is predominantly cartilaginous, and therefore allows ultrasound transmission.…”

Section: T He Pulmonary Valve Is Usually Easy To Assessmentioning

confidence: 99%

“…The short-axis view of the pulmonary valve would show a similar image to the one of the aortic valve from the parasternal short-axis view, but the particular anatomical position of the pulmonary valve in standard echocardiographic views makes this difficult to assess 1 . Although there are a few cases reported in the literature where right-sided heart disease results in modification of the anatomy of the right heart that allows a short-axis view of the pulmonary valve to be obtained from a parasternal window, 2 , 3 this situation is changing with the gradual introduction into our clinical practice of new imaging techniques such as three-dimensional echocardiography and cardiac MRI that are able to identify such anomalies of the pulmonary valve 4 5 …”

mentioning

confidence: 99%

Echocardiographic two-dimensional view of the pulmonary valve in infants: the high transsternal view

2015

View full text Add to dashboard Cite

Neonates and small infants have unique characteristics that make it possible to obtain echocardiographic views that are inaccessible in older patients. A high transsternal approach through the cartilaginous sternum and the thymus gland allows visualisation of a short-axis view of the pulmonary valve. This view should be included as part of routine protocols for echocardiographic examinations performed in this age group.

show abstract

Three-Dimensional Echocardiographic Views of Bicuspid Pulmonic Valve

Cited by 4 publications

References 2 publications

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

Feasibility of pulmonary valve imaging using transesophageal echocardiography upper esophageal view

Pulmonary valve assessment by three‐dimensional echocardiography

Echocardiographic two-dimensional view of the pulmonary valve in infants: the high transsternal view

Contact Info

Product

Resources

About