Two-dimensional-Wilkins and real-time transesophageal three-dimensional scoring systems: Which one is preferred to mitral valve morphological assessment?

• Published in: Asian cardiovascular & thoracic annals 2022-05, Vol.30 (4), p.416-424
• Main Authors: Toufan, Mehrnoush, Jabbary, Zahra, aghdam, Naser Khezerlou
• Format: Article
• Language: English
• Subjects: Cross-Sectional Studies; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Humans; Mitral Valve - diagnostic imaging; Mitral Valve - surgery; Predictive Value of Tests; Treatment Outcome
• ISSN: 0218-4923; 1816-5370
• DOI: 10.1177/02184923211030424

Background To quantify valvular morphological assessment, some two-dimensional (2D) and three-dimensional (3D) scoring systems have been developed to target the patients for balloon mitral valvuloplasty; however, each scoring system has some potential limitations. To achieve the best scoring system with the most features and the least restrictions, it is necessary to check the degree of overlap of these systems. Also the factors related to the accuracy of these systems should be studied. We aimed to determine the correlation between the 2D Wilkins and real-time transesophageal three-dimensional (RT3D-TEE) scoring systems. Methods This cross-sectional study was performed on 156 patients with moderate to severe mitral stenosis who were candidates for percutaneous balloon valvuloplasty. To morphologic assessment of mitral valve, patients were examined by 2D-transthoracic echocardiography and RT3D-TEE techniques on the same day. Results A strong association was found between total Wilkins and total RT3D-TEE scores (r = 0.809, p