Evaluation of cardiac valve repair by 4D transesophageal echocardiography_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

孙晓宁 ¹ , 张红强 ¹ , 赵维鹏 ² ,  王春生 ¹

1. ;
2. ;

Corresponding author：

王春生, Email: sun.xiaoning@zs-hospital.sh.cn

Keywords：

四维超声心动图; 二尖瓣成形; 主动脉瓣膜成形

DOI：

10.7507/1007-4848.201607005

Video：

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目的探讨四维经食管超声心动图（4D-TEE）在瓣膜修复中的作用。方法 2016 年 1 月我院对 3 例行二尖瓣修复和 1 例行主动脉瓣膜修复的患者采用西门子 SC2000 4D-TEE 进行术前术后评估，其中男 2 例、女 2 例，年龄38～59 （48.0±10.5）岁。同期采用二维经食管超声心动图指导二尖瓣和主动脉瓣修复的 13 例患者作为对照，其中男 8 例、女 5 例，年龄43～67（56.4±7.5）岁。结果术中 4D-TEE 可实时显示瓣叶的各项参数，如不同节段瓣叶高度、交界区面积、瓣叶面积、对合面的大小、窦管交界大小，瓣膜运动形态、主动脉管壁位移等信息。可根据内置软件建立个性化的瓣膜几何模型，动态模拟瓣膜启闭并直观呈现。对照组仅可显示某切面的瓣膜、腱索、乳头肌、心腔等信息。结论 4D-TEE 跳过了对二维图像的解读步骤，更直观完整地显示了瓣膜形态和动态，可以通过它的辅助来进行更有效的手术决策。

Citation： 孙晓宁, 张红强, 赵维鹏, 王春生. Evaluation of cardiac valve repair by 4D transesophageal echocardiography. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(6): 485-487. doi: 10.7507/1007-4848.201607005 Copy

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7.	Scutaru M, Voigt I, Mansi T, et al. Robust detection of mitral papillary muscle from 4D transesophageal echocardiography. Lect Notes Comp Sci, 2015, 8896: 249-256.
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9.	Pouch AM, Jackson BM, Yushkevich PA, et al. 4D-transesophageal echocardiography and emerging imaging modalities for guiding mitral valve repair. Ann Transl Med, 2015, 4(5): 461-462.

1. Mansi T, Voigt I, Georgescu B, et al. An integrated framework for finite-element modeling of mitral valve biomechanics from medical images: application to MitralClip intervention planning. Med Image Anal, 2012, 16(7): 1330-1346.
2. Pouch AM, Wang H, Takabe M, et al. Fully automatic segmentation of the mitral leaflets in 3D transesophageal echocardiographic images using multi-atlas joint label fusion and deformable medial modeling. Med Image Anal, 2014, 18(1): 118-129.
3. Schneider RJ, Tenenholtz NA, Perrin DP, et al. Patient-specific mitral leaflet segmentation from 4D ultrasound. Med Image Comput Comput Assist Interv, 2011, 14(Pt 3): 520-527.
4. Chandra S, Salgo IS, Sugeng L, et al. Characterization of degenerative mitral valve disease using morphologic analysis of real-time three-dimensional echocardiographic images: objective insight into complexity and planning of mitral valve repair. Circ Cardiovasc Imaging, 2011, 4(1): 24-32.
5. Levack MM, McCarthy FH, Takebe M, et al. Abstract 18555: Pre-operative three-dimensional echocardiography predicts repair failure in ischemic mitral regurgitation. Circulation, 2012, 126: A18555.
6. Engelhardt S, Lichtenberg N, Al-Maisary S, et al. Towards automatic assessment of the mitral valve coaptation zone from 4D ultrasound. Lect Notes Comp Sci, 2015, 9126: 137-145.
7. Scutaru M, Voigt I, Mansi T, et al. Robust detection of mitral papillary muscle from 4D transesophageal echocardiography. Lect Notes Comp Sci, 2015, 8896: 249-256.
8. Zhang D, McGarvey JR, Lee M, et al. Mitral valve stenosis and left ventricular hemodynamic alterations after mitral valve repair. J Cardiovasc Magn Reson, 2014, 16(Suppl 1): O70.
9. Pouch AM, Jackson BM, Yushkevich PA, et al. 4D-transesophageal echocardiography and emerging imaging modalities for guiding mitral valve repair. Ann Transl Med, 2015, 4(5): 461-462.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Evaluation of cardiac valve repair by 4D transesophageal echocardiography

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