Journal of Cardiothoracic and Vascular Anesthesia
Volume 25, Issue 5 , Pages 863-866, October 2011

Bench to Bedside: Dynamic Mitral Valve Assessment

Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

Purpose

The authors analyze a commercially available software package capable of geometrically reconstructing the mitral valve (MV) dynamically throughout systole.

Description

Three-dimensional echocardiography has revolutionized the understanding of MV geometry. Advanced quantification software can be used to assess geometric changes in the MV, which have been shown to have important implications for MV surgery.

Evaluation

The authors performed geometric analysis on 24 patients, with both anatomically normal and abnormal MVs to assess the feasibility of this new software. The application of this new software is briefly reviewed.

Conclusion

This new software, despite its limitations, allows an improved perspective on MV geometry with implications for MV repair and surgical decision making.

Key Words: 3-dimensional transesophageal echocardiography, mitral valve geometry, prosthetic mitral valve, mitral valve assessment software

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 The authors purchased the software from the vendor, TomTec GmbH (Munich, Germany).

 Gerard R. Manecke, Jr, MDMarco Ranucci, MDSection Editors

 CARDIAC ANESTHESIA FELLOW'S EDUCATIONDalia A. Banks, MDSection Editor

PII: S1053-0770(11)00467-8

doi:10.1053/j.jvca.2011.06.021

Journal of Cardiothoracic and Vascular Anesthesia
Volume 25, Issue 5 , Pages 863-866, October 2011