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A PICTURE IS WORTH A THOUSAND WORDS
Year : 2019  |  Volume : 20  |  Issue : 4  |  Page : 178-179  

Three-dimensional reconstruction of mitral valve by transesophageal echocardiography


Non-Invasive Cardiology, Department of Cardiology, Heart Hospital, Hamad Medical Corporation, Doha, Qatar

Date of Submission17-Oct-2019
Date of Acceptance17-Oct-2019
Date of Web Publication14-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
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/HEARTVIEWS.HEARTVIEWS_103_19

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How to cite this article:
Elmaghraby AM, Salustri A. Three-dimensional reconstruction of mitral valve by transesophageal echocardiography. Heart Views 2019;20:178-9

How to cite this URL:
Elmaghraby AM, Salustri A. Three-dimensional reconstruction of mitral valve by transesophageal echocardiography. Heart Views [serial online] 2019 [cited 2019 Dec 14];20:178-9. Available from: http://www.heartviews.org/text.asp?2019/20/4/178/271024



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.




    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4]



 

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