3D-echo in preoperative assessment of aortic cusps effective height

Effective height,which represents the height difference between the central free margins and the aortic insertion lines can be easily determined by 2-D echocardiography and allows for identification of prolapse in the native cusps and assessment of prolapse correction after valve repair.Nonetheless,...

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Bibliographic Details
Published in:World journal of cardiology 2014-07, Vol.6 (7), p.689-691
Main Authors: Nijs, Jan, Gelsomino, Sandro, Kietselaer, Bastian Bljh, Parise, Orlando, Lucà, Fabiana, Maessen, Jos G, Meir, Mark La
Format: Article
Language:English
Subjects:
Aortic
Echocardiography
Letters To The Editor
prolapse
repair
valve
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Summary:Effective height,which represents the height difference between the central free margins and the aortic insertion lines can be easily determined by 2-D echocardiography and allows for identification of prolapse in the native cusps and assessment of prolapse correction after valve repair.Nonetheless,it allows to see only two of three aortic valve(AV)coaptation planes and this may lead to misunderstanding of the underlying pathophysiological mechanism for aortic regurgitation and hence in unsuccessful repair.In contrast,3D transoesophageal echocardiography and multiple plane reconstruction lets visualize all the three coaptation planes between the AV cusps and it represents an invaluable tool in the assessment of aortic valve geometry.It is highly recommendable before AV repair to accurately study the complex three dimensional cusps anatomy and their geometric interrelation with aortic root.
ISSN:1949-8462
1949-8462
DOI:10.4330/wjc.v6.i7.689