ACCURACY OF REAL-TIME 3D ECHOCARDIOGRAPHY IN ASSESSING THE ANATOMY OF THE MITRAL VALVE IN PATIENTS UNDERGOING SURGERY FOR SEVERE DEGENERATIVE MITRAL REGURGITATION
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Type: Presentation - doctors , Number in the programme: 4 | |||||||||||||||||||||
Cinello M.1, Badano L.1, Pezzutto N.1, Pavoni D.1, Marinigh R.1, Gianfagna P.1, Fioretti P.1 1 Scienze cardiopolmonari, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia di Udine, Udine, Italy | |||||||||||||||||||||
Background. Accurate preoperative assessment of mitral valve (MV) morphology and function is essential to predict the likelihood of surgical repair and plan surgical approach. 2D transthoracic (2DE) and transesophageal echo require mental integration of MV leaflet morphology and have spatial limitations that may be overcome by real-time 3D echo (RT3DE).
Conclusions. RT3DE en face views of the MV showed excellent concordance with surgical inspection in identifying the culprit leaflet and the involved scallops. Limited spatial resolution of RT3DE may explain the limited accuracy of the technique in identifying chordal rupture. In addition, RT3DE provides easily interpretable images that facilitate communication with surgeons and non-echocardiographers. | |||||||||||||||||||||