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Real-time three-dimensional echocardiographic assessment of mitral valve: Is it really superior to 2D transesophageal echocardiography?


1 Department of Anaesthesiology and Intensive Care Medicine II, Heart Center Leipzig, University of Leipzig, Leipzig, Germany
2 Department of Anaesthesia and Intensive Care Medicine, Medical Faculty, University of Leipzig, Leipzig, Germany
3 Research Student, Department of Anaesthesiology and Intensive Care Medicine II, Heart Center, Leipzig, University of Leipzig, Leipzig, Germany
4 Department of Cardiac Surgery, University of Leipzig, Leipzig, Germany

Correspondence Address:
Joerg Ender
Department of Anaesthesiology and Intensive Medicine II, Heart Center Leipzig, University of Leipzig, Struempellstrasse 39, 04289 Leipzig
Germany
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.81562

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Year : 2011  |  Volume : 14  |  Issue : 2  |  Page : 91-96

 

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Aim of our study was to investigate the feasibility of use and possible additional value of real-time 3D transesophageal echocardiography (RT-3D-TEE) compared to conventional 2D-TEE in patients undergoing elective mitral valve repair. After ethical committee approval, patients were included in this prospective study. After induction of anesthesia, a comprehensive 2D-TEE examination was performed, followed with RT-3D-TEE. The intraoperative surgical finding was used as the gold standard for segmental analysis. Only such segments which were surgically corrected either by resection or insertion of artificial chords were judged pathologic. A total of 50 patients were included in this study; usable data were available from 42 of these patients . Based on the Carpentier classification, the pathology found was type I in 2 (5%) patients, type II in 39 (93%) patients and type IIIb in 1 (2%) patient. We found that 3D imaging of complex mitral disease involving multiple segments, when compared to 2D-TEE did not show any statistically significant difference.RT-3D-TEE did not show any major advantage when compared to conventional 2D-TEE for assessing mitral valve pathology, although further study in a larger population is required to establish the validity of this study.






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1 Department of Anaesthesiology and Intensive Care Medicine II, Heart Center Leipzig, University of Leipzig, Leipzig, Germany
2 Department of Anaesthesia and Intensive Care Medicine, Medical Faculty, University of Leipzig, Leipzig, Germany
3 Research Student, Department of Anaesthesiology and Intensive Care Medicine II, Heart Center, Leipzig, University of Leipzig, Leipzig, Germany
4 Department of Cardiac Surgery, University of Leipzig, Leipzig, Germany

Correspondence Address:
Joerg Ender
Department of Anaesthesiology and Intensive Medicine II, Heart Center Leipzig, University of Leipzig, Struempellstrasse 39, 04289 Leipzig
Germany
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.81562

Rights and Permissions

Aim of our study was to investigate the feasibility of use and possible additional value of real-time 3D transesophageal echocardiography (RT-3D-TEE) compared to conventional 2D-TEE in patients undergoing elective mitral valve repair. After ethical committee approval, patients were included in this prospective study. After induction of anesthesia, a comprehensive 2D-TEE examination was performed, followed with RT-3D-TEE. The intraoperative surgical finding was used as the gold standard for segmental analysis. Only such segments which were surgically corrected either by resection or insertion of artificial chords were judged pathologic. A total of 50 patients were included in this study; usable data were available from 42 of these patients . Based on the Carpentier classification, the pathology found was type I in 2 (5%) patients, type II in 39 (93%) patients and type IIIb in 1 (2%) patient. We found that 3D imaging of complex mitral disease involving multiple segments, when compared to 2D-TEE did not show any statistically significant difference.RT-3D-TEE did not show any major advantage when compared to conventional 2D-TEE for assessing mitral valve pathology, although further study in a larger population is required to establish the validity of this study.






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