Normal reference values for mechanical mitral prosthetic valve inner diameters and areas assessed by two-dimensional and real-time three-dimensional transesophageal echocardiography
It was previously observed that two dimensional (2D) Doppler derived and real-time three-dimensional (RT-3D) directly measured valve areas were smaller than reported manufacturer sizes. It may be helpful to obtain the ranges of inner diameters (IDs) and the geometric orifice area (GOA) during evalua...
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| Veröffentlicht in: | The International Journal of Cardiovascular Imaging 2021-02, Vol.37 (2), p.547-557 |
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| creator | Kalçık, Macit Özkan, Mehmet Gündüz, Sabahattin Gürsoy, Mustafa Ozan Yesin, Mahmut Bayam, Emrah Güner, Ahmet Kalkan, Semih Karakoyun, Süleyman Tanboğa, Halil İbrahim |
| description | It was previously observed that two dimensional (2D) Doppler derived and real-time three-dimensional (RT-3D) directly measured valve areas were smaller than reported manufacturer sizes. It may be helpful to obtain the ranges of inner diameters (IDs) and the geometric orifice area (GOA) during evaluation of prosthetic mitral valves. In this study, we aimed to provide reference dimensional parameters of bileflet mitral mechanical prosthetic valves. Patients with recent mitral valve replacement were examined by 2D and RT-3D transesophageal echocardiography (TEE) in the early postoperative period when the presence of pannus overgrowth was unlikely. Measurements of 2D IDs, 3D hinge to hinge (HHD) and edge to edge diameters (EED) and 3D GOA were obtained and compared with reported manufacturer sizes and areas. This study enrolled 126 patients with mitral prosthetic valves (38 ATS, 42 Carbomedics, 46 St. Jude Medical, all bileaflet). The measured 2D and 3D IDs and GOA were significantly smaller than reported manufacturer sizes in the majority of the valve sizes. This RT-3D TEE-guided study provides ranges of reference values for directly measured IDs and GOA of the three most commonly used mechanical mitral prosthetic valve types for the first time in a relatively large series. |
| doi_str_mv | 10.1007/s10554-020-02039-5 |
| format | Article |
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It may be helpful to obtain the ranges of inner diameters (IDs) and the geometric orifice area (GOA) during evaluation of prosthetic mitral valves. In this study, we aimed to provide reference dimensional parameters of bileflet mitral mechanical prosthetic valves. Patients with recent mitral valve replacement were examined by 2D and RT-3D transesophageal echocardiography (TEE) in the early postoperative period when the presence of pannus overgrowth was unlikely. Measurements of 2D IDs, 3D hinge to hinge (HHD) and edge to edge diameters (EED) and 3D GOA were obtained and compared with reported manufacturer sizes and areas. This study enrolled 126 patients with mitral prosthetic valves (38 ATS, 42 Carbomedics, 46 St. Jude Medical, all bileaflet). The measured 2D and 3D IDs and GOA were significantly smaller than reported manufacturer sizes in the majority of the valve sizes. 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This RT-3D TEE-guided study provides ranges of reference values for directly measured IDs and GOA of the three most commonly used mechanical mitral prosthetic valve types for the first time in a relatively large series.</description><subject>Cardiac Imaging</subject><subject>Cardiology</subject><subject>Diameters</subject><subject>Echocardiography</subject><subject>Heart valves</subject><subject>Imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mitral valve</subject><subject>Orifices</subject><subject>Original Paper</subject><subject>Prostheses</subject><subject>Prosthetic valves</subject><subject>Radiology</subject><subject>Real time</subject><issn>1569-5794</issn><issn>1573-0743</issn><issn>1875-8312</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kU2PFCEQhjtG466rf8CDIfHipZWPZliOZuNXstHL3kkNVE-z6YYRmDXzw_x_VjurRg8mRSBVTxXwvl33XPDXgnPzpgqu9dBzydelbK8fdOdCG9VzM6iH63lDSWOHs-5JrbecEybV4-5MKS6E5eq8-_45lwVmVnDEgskju4P5gJWNubAF_QQpeqovsRXa9iXXNmGLfuXukMWUsLAQYcGGpTJIgUFBoFOtSBHY9sjat9yHuGCqMScas1IEzX2jJGtTQfyrTncl6s77CXaEMXpH9lBCzLsC--n4tHs0wlzx2f1-0d28f3dz9bG__vLh09Xb694ro1sPAHYMiOJSbjcijN56GEMIGKwWJgQYzUASbbWUFN5K1IGE5SDQDCKoi-7VaSx9-yuJ0twSq8d5hoT5UJ0chsuNskpsCH35D3qbD4X-slJWCim50UTJE-VJx0qau32JC5SjE9ytnrqTp46Mcj89dWvTi_vRh-2C4XfLLxMJUCegUintsPy5-z9jfwDzc7JT</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Kalçık, Macit</creator><creator>Özkan, Mehmet</creator><creator>Gündüz, Sabahattin</creator><creator>Gürsoy, Mustafa Ozan</creator><creator>Yesin, Mahmut</creator><creator>Bayam, Emrah</creator><creator>Güner, Ahmet</creator><creator>Kalkan, Semih</creator><creator>Karakoyun, Süleyman</creator><creator>Tanboğa, Halil İbrahim</creator><general>Springer Netherlands</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2444-7523</orcidid></search><sort><creationdate>20210201</creationdate><title>Normal reference values for mechanical mitral prosthetic valve inner diameters and areas assessed by two-dimensional and real-time three-dimensional transesophageal echocardiography</title><author>Kalçık, Macit ; 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This RT-3D TEE-guided study provides ranges of reference values for directly measured IDs and GOA of the three most commonly used mechanical mitral prosthetic valve types for the first time in a relatively large series.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>33011903</pmid><doi>10.1007/s10554-020-02039-5</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2444-7523</orcidid></addata></record> |
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| subjects | Cardiac Imaging Cardiology Diameters Echocardiography Heart valves Imaging Medicine Medicine & Public Health Mitral valve Orifices Original Paper Prostheses Prosthetic valves Radiology Real time |
| title | Normal reference values for mechanical mitral prosthetic valve inner diameters and areas assessed by two-dimensional and real-time three-dimensional transesophageal echocardiography |
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