Assessment of the Aortic Root Using Real-Time 3D Transesophageal Echocardiography

DOI Web Site PubMed 被引用文献7件 参考文献55件
  • Otani Kyoko
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine
  • Takeuchi Masaaki
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine
  • Kaku Kyoko
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine
  • Sugeng Lissa
    Noninvasive Cardiac Imaging Laboratory, University of Chicago Medical Center
  • Yoshitani Hidetoshi
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine
  • Haruki Nobuhiko
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine
  • Ota Toshiyuki
    Department of Laboratory and Transfusion Medicine, University of Occupational and Environmental Health, School of Medicine
  • Mor-Avi Victor
    Noninvasive Cardiac Imaging Laboratory, University of Chicago Medical Center
  • Lang Roberto M
    Noninvasive Cardiac Imaging Laboratory, University of Chicago Medical Center
  • Otsuji Yutaka
    Second Department of Internal Medicine, University of Occupational and Environmental Health, School of Medicine

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Background:  Precise evaluation of the aortic root geometry prior to transcatheter aortic valve implantation is important for procedural success in patients with aortic stenosis (AS). To determine the potential for 3-dimensional transesophageal echocardiography (3DTEE), the aims of the present study were: (1) to assess the accuracy of 3DTEE measurements of the aortic root using multidetector computed tomography (MDCT) as a reference, and (2) to examine whether aortic root geometry differs between patients with and without AS. Methods and Results:  3DTEE and contrast-enhanced MDCT were performed in 35 patients. Multiplanar reconstruction was used to measure the left ventricular outflow tract (LVOT) and aortic annulus diameter/area, aortic valve area (AVA), and distances between the annulus and coronary artery ostium. The same 3DTEE measurements were performed in patients with (n=71) and without AS (n=80). Aortic annular and LVOT areas measured by 3DTEE were slightly but significantly smaller compared with values obtained with MDCT. Both methods revealed that the aortic annulus and LVOT have an oval shape. Aortic annular and LVOT area, AVA and the distances between the aortic annulus and the coronary ostia correlated well between the 2 modalities. Only minor differences in aortic root geometry were observed between patients with AS and those without. Conclusions:  The geometry of the aortic annulus can be reliably evaluated using 3DTEE as an alternative to MDCT for the assessment of aortic root. (Circ J 2010; 74: 2649-2657)<br>

収録刊行物

  • Circulation Journal

    Circulation Journal 74 (12), 2649-2657, 2010

    一般社団法人 日本循環器学会

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