Additional value of three-dimensional transesophageal echocardiography for patients with mitral valve stenosis undergoing balloon valvuloplasty.
Journal of the American Society of Echocardiography(2003)
摘要
The objective of this study was to validate the additional value of 3-dimensional (3D) transesophageal echocardiography (TEE) for patients with mitral valve stenosis undergoing percutaneous mitral balloon valvotomy (PTMV). Therefore, in a series of 21 patients with severe mitral valve stenosis selected for PTMV, 3D TEE was performed before and after PTMV. The mitral valve area was assessed by planimetry pre- and post-PTMV; the mitral valve volume was assessed and attention was paid to the amount of fusion of the commissures. These results were compared with findings by 2-dimensional transthoracic echocardiography using pressure half-time method for assessment of mitral valve area, and were analyzed for the prediction of successful outcome. Pre-PTMV the mitral valve area assessed by 3D TEE was 1.0 ± 0.3 cm2 vs 1.2 ± 0.4 cm2 assessed by 2-dimensional transthoracic echocardiography (P = .03) and post-PTMV it was 1.8 ± 0.5 cm2 vs 1.9 ± 0.6 cm2 (not significant), respectively. The mitral valve volume could be assessed by 3D TEE (mean 2.4 ± 2.5 cm3) and was inversely correlated to a successful PTMV procedure (P < .001). The 3D TEE method enabled a better description of the mitral valvular anatomy, especially post-PTMV. We conclude that 3D TEE will have additional value over 2-dimensional echocardiography in this group of patients, for selection of patients pre-PTMV, and for analyzing pathology of the mitral valve afterward.
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关键词
2 dimensional,3 dimensional,three dimensional
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