Utility of Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment and Percutaneous Intervention of Bioprosthetic Pulmonary Valve Stenosis
Accurate echocardiographic evaluation of the pulmonary valve is technically difficult because of its close proximity to the left lung, which often limits decision making. Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate rea...
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2014-04, Vol.31 (4), p.531-533 |
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| creator | Ahmed, Mustafa I. Escañuela, Maximiliano German Amado Crosland, William A. McMahon, William S. Alli, Oluseun O. Nanda, Navin C. |
| description | Accurate echocardiographic evaluation of the pulmonary valve is technically difficult because of its close proximity to the left lung, which often limits decision making. Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate real time anatomic detail. In this report, we present a case where direct imaging of the pulmonary valve with live/real time three‐dimensional transesophageal echocardiography (3DTEE) aided in accurate evaluation and was then used to help guide and monitor successful valvuloplasty of a stenotic pulmonary valve bioprosthesis. We demonstrate that even in cases where two‐dimensional (2D) evaluation of the pulmonary valve is difficult, the use of live/real time 3DTEE allows for accurate evaluation of bioprosthetic pulmonary valve structure and function, and enhances the precision and monitoring of percutaneous valvuloplasty. |
| doi_str_mv | 10.1111/echo.12551 |
| format | Article |
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Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate real time anatomic detail. In this report, we present a case where direct imaging of the pulmonary valve with live/real time three‐dimensional transesophageal echocardiography (3DTEE) aided in accurate evaluation and was then used to help guide and monitor successful valvuloplasty of a stenotic pulmonary valve bioprosthesis. 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Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate real time anatomic detail. In this report, we present a case where direct imaging of the pulmonary valve with live/real time three‐dimensional transesophageal echocardiography (3DTEE) aided in accurate evaluation and was then used to help guide and monitor successful valvuloplasty of a stenotic pulmonary valve bioprosthesis. We demonstrate that even in cases where two‐dimensional (2D) evaluation of the pulmonary valve is difficult, the use of live/real time 3DTEE allows for accurate evaluation of bioprosthetic pulmonary valve structure and function, and enhances the precision and monitoring of percutaneous valvuloplasty.</description><subject>Bioprosthesis</subject><subject>Cardiac Catheterization</subject><subject>echocardiography</subject><subject>Echocardiography, Three-Dimensional - utilization</subject><subject>Echocardiography, Transesophageal - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Valve Prosthesis</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Heart Valve Prosthesis Implantation - methods</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Prosthesis Failure</subject><subject>prosthetic valve</subject><subject>pulmonary valve</subject><subject>pulmonary valve prosthesis</subject><subject>pulmonary valve stenosis</subject><subject>Pulmonary Valve Stenosis - congenital</subject><subject>Pulmonary Valve Stenosis - diagnostic imaging</subject><subject>Pulmonary Valve Stenosis - surgery</subject><subject>Reoperation - methods</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>three-dimensional echocardiography</subject><subject>three-dimensional transesophageal echocardiography</subject><subject>Treatment Outcome</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1uEzEUhS0EoqGw4QGQlwhpWtvjn5llSUNTEWgFaVharudOxzA_wXYCeSGeEw_Tdok3tq6_c-6RDkKvKTmh6ZyCbYYTyoSgT9CMCk6ygirxFM2I4ixjBWNH6EUI3wkhilL-HB0xLrkkTM3Qn5voWhcPeKjxyu3h9AuYFq9dB3jdeIDsPD374IZ-HHvTBwjDtjF3I7ZIi63xlRvuvNk2B-x6HBvAZyFRIekiNn2Fr8HbXTQ9DLuAL_sIfp--kuW49L0btn4ISRadxde7tkur_AFvTLsH_DVCPwQXXqJntWkDvLq_j9HNh8V6vsxWVxeX87NVZnOpaFbVAJRbDkVZlkooVlBeWEFYoUpJrRQVM0QqEEVVCClLe0usqeqakbqSktX5MXo7-aZMP3cQou5csNC2U3pNBeWcqYKIhL6bUJviBw-13nrXpeiaEj32osde9L9eEvzm3nd320H1iD4UkQA6Ab9cC4f_WOnFfHn1YJpNGhci_H7UGP9DS5Urob99vtBLsfn4aVPkmuR_AZUKqvI</recordid><startdate>201404</startdate><enddate>201404</enddate><creator>Ahmed, Mustafa I.</creator><creator>Escañuela, Maximiliano German Amado</creator><creator>Crosland, William A.</creator><creator>McMahon, William S.</creator><creator>Alli, Oluseun O.</creator><creator>Nanda, Navin C.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201404</creationdate><title>Utility of Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment and Percutaneous Intervention of Bioprosthetic Pulmonary Valve Stenosis</title><author>Ahmed, Mustafa I. ; 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Pulmonary valvotomy is the intervention of choice for symptomatic pulmonary valve stenosis, but fluoroscopy lacks appropriate real time anatomic detail. In this report, we present a case where direct imaging of the pulmonary valve with live/real time three‐dimensional transesophageal echocardiography (3DTEE) aided in accurate evaluation and was then used to help guide and monitor successful valvuloplasty of a stenotic pulmonary valve bioprosthesis. We demonstrate that even in cases where two‐dimensional (2D) evaluation of the pulmonary valve is difficult, the use of live/real time 3DTEE allows for accurate evaluation of bioprosthetic pulmonary valve structure and function, and enhances the precision and monitoring of percutaneous valvuloplasty.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>24646027</pmid><doi>10.1111/echo.12551</doi><tpages>3</tpages></addata></record> |
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| subjects | Bioprosthesis Cardiac Catheterization echocardiography Echocardiography, Three-Dimensional - utilization Echocardiography, Transesophageal - methods Female Follow-Up Studies Heart Valve Prosthesis Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Middle Aged Minimally Invasive Surgical Procedures - methods Prosthesis Failure prosthetic valve pulmonary valve pulmonary valve prosthesis pulmonary valve stenosis Pulmonary Valve Stenosis - congenital Pulmonary Valve Stenosis - diagnostic imaging Pulmonary Valve Stenosis - surgery Reoperation - methods Risk Assessment Severity of Illness Index three-dimensional echocardiography three-dimensional transesophageal echocardiography Treatment Outcome |
| title | Utility of Live/Real Time Three-Dimensional Transesophageal Echocardiography in the Assessment and Percutaneous Intervention of Bioprosthetic Pulmonary Valve Stenosis |
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