دورية أكاديمية
أعرض في EDS

Comprehensive imaging evaluation of the aortic valve and root before aortic root surgery: a study comparing MDCT and TEE.

التفاصيل البيبلوغرافية
العنوان: Comprehensive imaging evaluation of the aortic valve and root before aortic root surgery: a study comparing MDCT and TEE.
المؤلفون: Li Y; Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Diseases, No. 167 North Lishi Road, Xicheng District, Beijing, 100037, China., Zhang S; Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Diseases, No. 167 North Lishi Road, Xicheng District, Beijing, 100037, China., Qi H; Department of Ultrasound, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Disease, Beijing, China., Ma X; Department of Radiology, Fuwai Hospittal, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Diseases, Beijing, China., Qian X; Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Diseases, No. 167 North Lishi Road, Xicheng District, Beijing, 100037, China. m13701097213@163.com., Sun J; Department of Cardiovascular Surgery, Fuwai Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College/National Center for Cardiovascular Diseases, No. 167 North Lishi Road, Xicheng District, Beijing, 100037, China. sunsanjing@126.com.
المصدر: BMC cardiovascular disorders [BMC Cardiovasc Disord] 2024 Jul 16; Vol. 24 (1), pp. 367. Date of Electronic Publication: 2024 Jul 16.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100968539 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2261 (Electronic) Linking ISSN: 14712261 NLM ISO Abbreviation: BMC Cardiovasc Disord Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Aortic Valve*/diagnostic imaging , Aortic Valve*/surgery , Aortic Valve*/abnormalities , Predictive Value of Tests* , Multidetector Computed Tomography* , Echocardiography, Transesophageal* , Bicuspid Aortic Valve Disease*/surgery , Bicuspid Aortic Valve Disease*/diagnostic imaging, Humans ; Male ; Female ; Middle Aged ; Aged ; Reproducibility of Results ; Adult ; Retrospective Studies ; Heart Valve Diseases/diagnostic imaging ; Heart Valve Diseases/surgery ; Preoperative Care
مستخلص: Objective: To investigate the accuracy and consistency of MDCT and TEE in the preoperative assessment of aortic root surgery.
Methods: From January 2021 to September 2022, 118 patients who underwent aortic root surgery were included in this study. All patients underwent high-quality preoperative MDCT and TEE examinations, and the examination results were independently measured and assessed by two senior radiologists or ultrasound specialists. Bland-Altman analysis and Pearson correlation testing were employed to assess the correlation and consistency between MDCT and TEE. These analyses were then compared with actual intraoperative measurement data.
Results: Among all the patients, 73 (61.86%) had tricuspid aortic valve (TAV), and 45 (38.14%) had bicuspid aortic valve (BAV). A comparison between the TEE and MDCT measurements showed that for the annulus diameter, the area-derived diameter had the best correlation and agreement. For the sinus of Valsalva diameter, the circumference-derived diameter was optimal. However, for the STJ diameter, the minimum cross-sectional diameter showed the best agreement with TEE. In contrast, measurements of geometric height showed a weaker correlation and agreement.
Conclusion: Contrast-enhanced MDCT can be a valuable tool for perioperative evaluation in aortic root surgery, with good correlation, consistency, and feasibility when compared to TEE. The choice of MDCT measurement methodology, specifically area-derived and circumference-derived diameter, proved to be more accurate than other methods. Further research is required to enhance the understanding of aortic valve repair and associated imaging techniques.
(© 2024. The Author(s).)
References: J Thorac Cardiovasc Surg. 2014 Sep;148(3):872-9; discussion 879-80. (PMID: 24930611)
Ann Thorac Surg. 2004 Oct;78(4):1479-81. (PMID: 15464530)
J Thorac Cardiovasc Surg. 1993 Mar;105(3):435-8. (PMID: 8445922)
Int J Cardiol. 2019 Feb 1;276:230-235. (PMID: 30213599)
Am J Cardiol. 2006 Oct 1;98(7):966-9. (PMID: 16996884)
J Thorac Cardiovasc Surg. 2006 Aug;132(2):436-8. (PMID: 16872982)
J Am Soc Echocardiogr. 2020 Jun;33(6):692-734. (PMID: 32503709)
Eur J Cardiothorac Surg. 2006 Apr;29(4):537-44. (PMID: 16500110)
J Thorac Cardiovasc Surg. 2003 Apr;125(4):773-8. (PMID: 12698136)
Eur J Cardiothorac Surg. 2022 Jul 11;62(2):. (PMID: 35583290)
J Cardiovasc Thorac Res. 2021;13(3):208-215. (PMID: 34630968)
J Thorac Cardiovasc Surg. 1995 Feb;109(2):345-51; discussion 351-2. (PMID: 7853886)
Circulation. 2022 Dec 13;146(24):e334-e482. (PMID: 36322642)
Eur J Cardiothorac Surg. 2018 May 1;53(5):1040-1048. (PMID: 29253123)
Front Cardiovasc Med. 2021 Nov 22;8:731440. (PMID: 34881298)
Eur J Echocardiogr. 2010 Sep;11(8):645-58. (PMID: 20823280)
Semin Thorac Cardiovasc Surg. 1993 Jan;5(1):88-90. (PMID: 8425009)
Ann Thorac Surg. 2023 Apr;115(4):879-885. (PMID: 36370884)
معلومات مُعتمدة: No. Z201100005520003 Beijing Municipal Science & Technology Commission; No. Z201100005520003 Beijing Municipal Science & Technology Commission; No. Z201100005520003 Beijing Municipal Science & Technology Commission
فهرسة مساهمة: Keywords: Aortic root surgery; Multidetector coomputed tomography; Transeophageal echocardiography
تواريخ الأحداث: Date Created: 20240716 Date Completed: 20240716 Latest Revision: 20240719
رمز التحديث: 20240719
مُعرف محوري في PubMed: PMC11251224
DOI: 10.1186/s12872-024-04031-6
PMID: 39014301
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2261
DOI:10.1186/s12872-024-04031-6