Feasibility of aortic diameter measurement by multiplane transesophageal echocardiography for preoperative selection and preparation of homograft aortic.

Slides:

Advertisements

Similar presentations

Biomechanical implications of the congenital bicuspid aortic valve: A finite element study of aortic root function from in vivo data Carlo A. Conti,

Advertisements

Of mice and men and surgical transcatheter aortic valve insertion

An unusual case of severe aortic valve stenosis in an adult caused by aortic valve inflammatory myofibroblastic tumor Dong Zhao, MD, Chunsheng Wang,

Cardiac Papillary Fibroelastoma: A Treatable Cause of Transient Ischemic Attack and Ischemic Stroke Detected by Transesophageal Echocardiography Robert.

Perforation of the Valsalva Sinus After Implantation of Medtronic Freestyle Aortic Bioprosthesis Nobuchika Ozaki, MD, Yutaka Hino, MD, Yuji Hanafusa,

Accurate Localization of Mitral Regurgitant Defects Using Multiplane Transesophageal Echocardiography Gary P. Foster, Eric M. Isselbacher, Geoffrey A.

Aortico-Left Ventricular Tunnel: Diagnosis Based on Two-Dimensional Echocardiography, Color Flow Doppler Imaging, and Magnetic Resonance Imaging RICHARD.

Prosthetic Mitral Valve Replacement: Late Complications After Native Valve Preservation Eduardo Esper, MD, Francis D Ferdinand, MD, Solomon Aronson,

Orientation of tilting disc and bileaflet aortic valve substitutes for optimal hemodynamics Joachim Laas, MD, Peter Kleine, MD, Michael J Hasenkam, MD,

Toward more reliable repair of ruptured sinus of Valsalva

Mitral annuloplasty in an infant with Barth syndrome and severe mitral insufficiency: First case report and determination of annular diameter Shu-Chien.

B. Albat, MD, P. Messner-Pellenc, MD, A. Thévenet, MD

Minimally invasive transapical aortic valve-in-a-valve implantation for severe aortic regurgitation in a degenerated stentless bioprosthesis Timotheos.

Turning to the truth: Is mechanical aortic valve orientation important in transthoracic echocardiographic detection of prosthetic dysfunction and paravalvular.

Orientation of bileaflet mechanical aortic valve prostheses for optimal evaluation by transthoracic echocardiography Alberto Bouzas-Mosquera, MD, PhD,

Klaus Langes, MD, Dietmar Koschyk, MD, Detlef G. Mathey, MD

Basal cusp enlargement for repair of aortic valve insufficiency

Chun Wang, MD, Zongyi Xiu, MD, Tianxiang Gu, MD

Huge aneurysms of the aortic sinuses of Valsalva with leaflet perforation in an infant: A case report Atsushi Kawaguchi, MD, Kenji Waki, MD, Yoshio Arakaki,

Mitral Valve Morphology Assessment: Three-Dimensional Transesophageal Echocardiography Versus Computed Tomography Miriam Shanks, MD, Victoria Delgado,

New graft formulation and modification of the David reimplantation technique Thomas G. Gleason, MD The Journal of Thoracic and Cardiovascular Surgery

Dehiscence of aortic valve commissure complicated by aortic regurgitation Toshihiro Fukui, MD, Tomoki Shimokawa, MD, Ken-u Fumimoto, MD, Susumu Mananbe,

Acute Aortic Regurgitation Caused by Spontaneous Aortic Valve Rupture

Muhammad A. Mumtaz, MD, Roger B. B

Dennis M. Mello, MD, John Fahey, MD, Gary S. Kopf, MD

Leonard Girardi, MD, O.Wayne Isom, MD The Annals of Thoracic Surgery

Valve-sparing root repair: V-shaped remodeling can be performed in all sinuses Paul P. Urbanski, MD, PhD The Journal of Thoracic and Cardiovascular Surgery

Rapidly Progressive Bioprosthetic Aortic Valve Stenosis Due to Bartonella Species Endocarditis Kathy Schnitzer, MD, Zafrir Or, MD, Shtiwi Sawaed, MD,

Aneurysm of Sinus of Valsalva Dissecting Into Interventricular Septum

Zohair Al Halees, MD, Mahmoud M. Awad, MD, Frans Pieters, MD, Maie S

Aortic root morphology in patients undergoing percutaneous aortic valve replacement: Evidence of aortic root remodeling Mateen Akhtar, MD, E. Murat Tuzcu,

Direct visualization of the aortic cusp from the left ventricle during aortic root reimplantation Yutaka Okita, PhD, MD, Takanori Oka, MD, Shunsuke Miyahara,

Pentacuspid Aortic Valve With Severe Aortic Regurgitation

Accuracy of transesophageal echocardiography in the identification of postoperative intramural ventricular septal defects Jyoti K. Patel, MD, Andrew.

Jorge Sierra, MD, FETCS, Nadia H. Lahlaïdi, MD, Jan T

Aortic replacement for bicuspid aortic valve aortopathy: When and why?

Kevin M. Harris, MDa, Alan C. Braverman, MDa, Fernando R

A new concept for correction of systolic anterior motion and mitral valve regurgitation in patients with hypertrophic obstructive cardiomyopathy Joerg.

Intermediate-term results of a nonresectional dynamic repair technique in 662 patients with mitral valve prolapse and mitral regurgitation Gerald M.

Echocardiography underestimates the aortic root diameter in patients with bicuspid aortic valve, but short-axis imaging can help Hector I. Michelena,

Tricuspid annular plane systolic excursion: The welcome parameter

Anatomic correction of the syndrome of prolapsing right coronary aortic cusp, dilatation of the sinus of valsalva, and ventricular septal defect Magdi.

Reoperative innominate arterial, ascending aortic, and root replacement for extensive fungal endocarditis Bradley G. Leshnower, MD, Thomas G. Gleason,

Patrick O. Myers, MD, Yacine Aggoun, MD, Cecile Tissot, MD

Acute myocardial infarction and limb ischemia as manifestation of nonbacterial thrombotic endocarditis Naoko Nagano, MD, Jean-François Morin, MD, FRCS,

Ventricular volume, chamber stiffness, and function after anteroapical aneurysm plication in the sheep Mark B. Ratcliffe, MDa, Arthur W. Wallace, MD,

Biomechanical implications of the congenital bicuspid aortic valve: A finite element study of aortic root function from in vivo data Carlo A. Conti,

A novel method for reconstructing the sinus and annulus for the treatment of annuloaortic ectasia Takeshi Shimamoto, MD, Akira Marui, MD, PhD, Takeshi.

Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

Transient right ventricular dysfunction caused by retractor during lower hemisternotomy mitral valve repair in a patient with pectus excavatum Homare.

Andrew Gogbashian, MD, Ravi K

Fitsum Lakew, MD, Paul P. Urbanski, MD, PhD

Rapid progression of midventricular obstruction in adults with double-chambered right ventricle José María Oliver, MD, Ana Garrido, MD, Ana González,

Fixed left ventricular outflow tract obstruction in presumed hypertrophic obstructive cardiomyopathy: implications for therapy Charles J Bruce, MB, Rick.

Increase in size of the pulmonary autograft after the ross operation in children: Growth or dilation? Laszlo Solymar, MD, PhD, Göran Südow, MD, Daniel.

Original Aortic Valve Plasty With Autologous Pericardium for Quadricuspid Valve Isamu Kawase, MD, Shigeyuki Ozaki, MD, PhD, Hiromasa Yamashita, MD, Shin.

AORTIC VALVE–PRESERVING PROCEDURE FOR ENLARGEMENT OF THE LEFT VENTRICULAR OUTFLOW TRACT AND MITRAL ANULUS Richard A. Jonas, MD, John F. Keane, MD, James.

Thromboembolism from the noncoronary cusp of a patient with a normal aortic valve and protein C deficiency Shunya Shindo, MD, Kenji Kubota, MD, Masahiko.

Basar Sareyyupoglu, MD, Hartzell V. Schaff, MD, Rakesh M

Domenico Mazzitelli, MD, Christian Nöbauer, MD, J

Homograft valve repair for recurrent prosthetic valve endocarditis

Perforation of a Tricuspid Pouch Caused by Infective Endocarditis

Ectopic thyroid tissue in the left ventricular outflow tract

Transesophageal echocardiographic scoring for transcatheter aortic valve implantation: Impact of aortic cusp calcification on postoperative aortic regurgitation

Aneurysmal right coronary with fistula to the coronary sinus combined with severe stenosis of the left anterior descending artery: A snake on the heart

Thrombosis of aortic valve homograft associated with lupus anticoagulant antibodies Philippe Unger, MD, PhD, Danièle Plein, MD, Olivier Pradier, MD, Jean-Louis.

Giant right coronary artery aneurysm with a huge intramural thrombus

Echo-free perfused spaces: A current postoperative finding after homograft replacement of the aortic valve T. Carrel, MD, M. Pasic, MD, E. Oechslin,

Filip Casselman, MD, PhD, FETCS, Hugo Vanermen, MD, FETCS

Michael H. Hines, MD, Neal D. Kon, MD The Annals of Thoracic Surgery

Presentation transcript:

Feasibility of aortic diameter measurement by multiplane transesophageal echocardiography for preoperative selection and preparation of homograft aortic valves Lynn Weinert, BS, Robert Karp, MD, Philippe Vignon, MD, Amy Bales, MD, Roberto M. Lang, MD The Journal of Thoracic and Cardiovascular Surgery Volume 112, Issue 4, Pages 954-961 (October 1996) DOI: 10.1016/S0022-5223(96)70095-8 Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 1 TEE still frame obtained with a multiplane probe (longitudinal plane) from a patient with a normal trileaflet aortic valve. It demonstrates proper alignment of the aortic root and sinuses of Valsalva. Arrows depict placement of calipers for correct aortic annular measurement. The measurement was obtained in early systole, at the time of maximal leaflet excursion. LA, Left atrium; LV, left ventricle; RV, right ventricle; NCC, noncoronary aortic cusp; RCC, right coronary aortic cusp. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 2 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the first experienced reader (prospective study) by combined TTE and TEE approaches and the measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the second experienced reader (retrospective study) by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 3 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the second experienced reader (retrospective study) by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the intermediate reader by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 4 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the intermediate reader by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the inexperienced reader by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 5 Bland-Altman plot demonstrating the agreement between aortic annular measurements obtained by the inexperienced reader by TTE or TEE and measurements obtained at the time of operation with a ring valve sizer. The 0 line (solid line) corresponds to the line of perfect agreement. The middle dashed line represents the mean difference. Upper and lower dashed lines correspond, respectively, to the upper and lower limits of agreement. SD, Standard deviation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 6 Still frames (longitudinal views) obtained from a patient with a torn noncoronary aortic cusp diagnosed with the use of TEE. A, Improper alignment of the sinuses of Valsalva, which resulted in an erroneously large annular measurement of 27 mm. B, Still frame (longitudinal view) obtained from the same patient after realignment of the sinuses of Valsalva and aortic root. Proper positioning enabled accurate determination of the aortic annular size (23 mm), which was confirmed at the time of operation. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions

Fig. 7 Still frames (longitudinal views) obtained from two patients with bicuspid aortic valves and dilated aortic roots with the use of multiplane TEE. A, This patient had predominant aortic regurgitation. Notice the symmetry of the sinuses of Valsalva, with an annular diameter size of 30 mm. B, In this patient with aortic stenosis, there was marked asymmetry of the sinuses of Valsalva, with an annular diameter of 25 mm. Frequent scanning from the short to the long axis clearly identified the correct leaflet insertion sites into the aortic root. RV, Right ventricle; LA, left atrium; AO ROOT, aortic root. The Journal of Thoracic and Cardiovascular Surgery 1996 112, 954-961DOI: (10.1016/S0022-5223(96)70095-8) Copyright © 1996 Mosby, Inc. Terms and Conditions