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3D Echocardiography. u 3D Transesophageal echocardiography has become practical for intraoperative use u Technology provides 3D visualization of MV and.

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Presentation on theme: "3D Echocardiography. u 3D Transesophageal echocardiography has become practical for intraoperative use u Technology provides 3D visualization of MV and."— Presentation transcript:

1 3D Echocardiography

2 u 3D Transesophageal echocardiography has become practical for intraoperative use u Technology provides 3D visualization of MV and offers options for MV measurements. u 2010 meeting will have sessions discussing this technology

3 3D Echo Case #1 Degenerative Mitral Valve Disease Myxomatous Degeneration

4 Mid-esophageal four-chamber TEE view with color flow doppler demonstrating billowing prolapse of both mitral leaflets and significant mitral regurgitation consistent with myxomatous degeneration.

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6 Real-time, three-dimensional TEE (IE33; Matrix X7-2t; Philips Healthcare, Inc.) en- face view of the mitral valve from the left atrial perspective demonstrating billowing and diffuse prolapse of both mitral leaflets consistent with myxomatous degeneration.

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8 Computer generated image of the mitral valve (Q-labs, Philips Heathcare, Inc) from the left atrial perspective demonstrating billowing and diffuse prolapse of both mitral leaflets consistent with myxomatous degeneration.

9 Real-time, three-dimensional TEE (IE33; Matrix X7-2t; Philips Healthcare, Inc.) en- face view of the mitral valve from the left atrial perspective in this patient with myxomatous degeneration following mitral valve repair with a posterior leaflet resection and partial ring annuloplasty.

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11 3D Echo Case #2 Functional Mitral Regurgitation

12 Mid-esophageal four-chamber TEE view with color flow doppler demonstrating apical tethering of both anterior and posterior leaflet with a severe, central jet of mitral regurgitation.

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14 Zoom image of the mitral valve from a mid-esophageal four-chamber TEE imaging plane. Note the significant, bileaflet apical tethering which is typical in patients with functional mitral regurgitation.

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16 Real-time, three-dimensional TEE (IE33; Matrix X7-2t; Philips Healthcare, Inc.) en-face view of the mitral valve from the left atrial perspective in this patient with functional mitral regurgitation.

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18 Full volume, color flow Doppler, three-dimensional TEE (IE33; Matrix X7-2t; Philips Healthcare, Inc.) en-face view of the mitral valve from the left atrial perspective showing significant, central jet of mitral regurgitation.

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20 Computer generated image (Q-labs, Philips Heathcare,Inc) showing significant apical tethering of posterior and anterior mitral valve leaflets with large tenting volume

21 Real-time, three-dimensional TEE (IE33; Matrix X7-2t; Philips Healthcare, Inc.) en-face view of the mitral valve from the left atrial perspective in this patient with functional mitral regurgitation following mitral valve repair with a full ring annuloplasty.

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23 Additional 3D Echoes Following

24 MV Normal

25 MV P2 Flail Pre-op

26 MV P2 Prolapse

27 MV P3 Flail Pre-op

28 MV P3 Flail Post-op

29 Barlows

30 References u Grewel J, Miller FA, et al: Real-Time Three-Dimensional Transesophageal Echocardiography in the Intraoperative Assessment of Mitral Valve Disease. J Am Soc Echocardiogr 2009 Jan; 22(1): u Shernan SK: Intraoperative Three-Dimensional Echocardiography: Ready for Primetime? J Am Soc Echocardiogr 2009 Jan 22(1)27A-28A. u Salcedo EE, CarollJD, et al: A Framework fro Systemic Characterization of the Mitral Valve by Real-Time Three- Dimensional Transesophageal Echocardiography. J Am Soc Echocardiogr 2009 Oct; 22(10):


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