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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2019 | Volume
: 20
| Issue : 4 | Page : 178-179 |
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Three-dimensional reconstruction of mitral valve by transesophageal echocardiography
Ahmed Mohamed Elmaghraby, Alessandro Salustri
Non-Invasive Cardiology, Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar
| Date of Submission | 17-Oct-2019 |
| Date of Acceptance | 17-Oct-2019 |
| Date of Web Publication | 14-Nov-2019 |
Correspondence Address:
Dr. Ahmed Mohamed Elmaghraby
Non-Invasive Cardiology, Department of Cardiology, Heart Hospital, Hamad Medical Corporation, P. O. Box 3050, Doha
Qatar
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_103_19
How to cite this article:
Elmaghraby AM, Salustri A. Three-dimensional reconstruction of mitral valve by transesophageal echocardiography. Heart Views 2019;20:178-9 |
Two-dimensional echocardiography is the technique of choice for assessing patients with mitral valve disease. However, even with the transesophageal approach, it requires a conceptualization process to mentally reconstruct the morphology of the valve. Three-dimensional (3D) echocardiography represents a tool that allows direct visualization of the mitral valve with a 3D rendering. The volumetric dataset can be examined from any desired plan.
In [Figure 1], a left atrial cut with a view from above on the mitral valve reproduces the surgical view, with direct visualization of the mitral leaflets and commissures. Surface-rendering technology depicts the pathology realistically and allows the measurements of several parameters unobtainable from two-dimensional echocardiography that are important for mitral valve repair, both surgically or percutaneously [Figure 2], [Figure 3], [Figure 4]. Thus, 3D echocardiography is a great tool that enables the conception of the mitral valve anatomy and function and facilitates the communication between cardiologists and cardiac surgeons. | Figure 1: Showed a volume rendering 3-D TEE study. The mitral valve is shown from the atria. The anterior leaflet on top; The posterior leaflet at the bottom. Severe prolapse at P 2 and 3 scallops is detected with rupture chordae
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 | Figure 2: Showed the surface rendering model 3 D TEE study. The mitral valve is shown from the atria. The prolapsed area is labeled with red color. Annular AP (antero-posterior) and Anterolateral postermedial (AL-PM) diameters measured
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 | Figure 3: Showed the surface rendering model 3 D TEE study. The mitral valve is shown from the atria. The prolapsed area is labeled with red color. Posterior leaflet length at different scallops
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 | Figure 4: Showed the surface rendering model 3 D TEE study. The mitral valve is shown from the atria. The prolapsed area is labeled with red color and the flail distance
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Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
[Figure 1], [Figure 2], [Figure 3], [Figure 4]
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