Live three-dimensional and two-dimensional transesophageal echocardiography for evaluating functional anatomy of mitral regurgitation: a comparative study.
- Author:
Yao WANG
1
;
Chang-Qing GAO
;
Yan-Song SHEN
;
Sheng-Li JIANG
;
Chong-Lei REN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Echocardiography; methods; Echocardiography, Three-Dimensional; methods; Echocardiography, Transesophageal; methods; Female; Humans; Male; Middle Aged; Mitral Valve Insufficiency; diagnostic imaging; pathology; physiopathology; Young Adult
- From: Journal of Southern Medical University 2011;31(11):1882-1884
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo compare the accuracy of live three-dimensional (Live-3D-TEE) and two-dimensional transesophageal echocardiography (2D-TEE) in the evaluation of functional anatomy of mitral regurgitation. METHDOS: Thirty-eight consecutive patients with severe mitral regurgitation were enrolled prospectively. The accuracy of Live-3D-TEE and 2D-TEE for functional assessment of mitral regurgitation was evaluated against surgical findings.
RESULTSThe accuracy in etiological assessment of mitral regurgitation was 94.7% with Live-3D-TEE and 89.5% with 2D-TEE (P=0.09). For assessment of lesions of the mitral valve, Live-3D-TEE showed an overall accuracy of 93.2%, significantly higher than that of 2D-TEE (88.6%, P=0.001). Live-3D-TEE also showed a significantly higher accuracy than 2D-TEE in localization of mitral valve lesions (93.3% vs 86.7%, P=0.000).
CONCLUSIONBoth Live-3D-TEE and 2D-TEE allow accurate assessment of the etiology of mitral regurgitation, but Live-3D-TEE can be more accurate in the evaluation of the lesions of the mitral valve and their localization.