Ning-Han Shi MM, Nan Zhang MM, Shuo Zhang MD, Hai-Zhou Zhang MD, Cheng-Wei Zou MD, Mei Zhu MD
{"title":"使用实时三维经食道超声心动图进行二尖瓣成形术","authors":"Ning-Han Shi MM, Nan Zhang MM, Shuo Zhang MD, Hai-Zhou Zhang MD, Cheng-Wei Zou MD, Mei Zhu MD","doi":"10.1111/anec.13104","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal echocardiography (RT-3D-TEE). The main objective was to study the relationship between intraoperative annuloplasty ring size and mitral valve structure dimensions, with a focus on exploring the application value of RT-3D-TEE in MVP.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A total of 28 patients with degenerative mitral regurgitation (DMR), who underwent MVP between February and September 2022, as well as 12 normal control cases, were enrolled in this study. The MV annulus and leaflets were quantitatively analyzed using MVN software.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>The DMR group exhibited significantly greater dimensions in various parameters of the mitral valve, including the anterolateral-to-posteromedial diameter (<i>D</i><sub>AlPm</sub>), anterior-to-posterior diameter (<i>D</i><sub>AP</sub>), annulus height (<i>H</i><sub>A</sub>), three-dimensional annulus circumference (<i>C</i><sub>A3D</sub>), two-dimensional annulus area (<i>AA</i><sub>2D</sub>), anterior leaflet area (<i>A</i><sub>ant</sub>), posterior leaflet area (<i>A</i><sub>post</sub>), anterior leaflet length (<i>L</i><sub>ant</sub>), posterior leaflet length (<i>L</i><sub>post</sub>), and tenting volume (<i>V</i><sub>tent</sub>) compared to the control group.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Real-time three-dimensional transesophageal echocardiography provides valuable insights into the morphological structure of the mitral valve and lesion location. It can aid in surgical decision-making, validate the success of MVP, and potentially reduce mortality and complications associated with mitral valve repair procedures.</p>\n </section>\n </div>","PeriodicalId":8074,"journal":{"name":"Annals of Noninvasive Electrocardiology","volume":"29 1","pages":""},"PeriodicalIF":1.1000,"publicationDate":"2024-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/anec.13104","citationCount":"0","resultStr":"{\"title\":\"Mitral valvuloplasty using real-time three-dimensional transesophageal echocardiography\",\"authors\":\"Ning-Han Shi MM, Nan Zhang MM, Shuo Zhang MD, Hai-Zhou Zhang MD, Cheng-Wei Zou MD, Mei Zhu MD\",\"doi\":\"10.1111/anec.13104\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal echocardiography (RT-3D-TEE). The main objective was to study the relationship between intraoperative annuloplasty ring size and mitral valve structure dimensions, with a focus on exploring the application value of RT-3D-TEE in MVP.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A total of 28 patients with degenerative mitral regurgitation (DMR), who underwent MVP between February and September 2022, as well as 12 normal control cases, were enrolled in this study. The MV annulus and leaflets were quantitatively analyzed using MVN software.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>The DMR group exhibited significantly greater dimensions in various parameters of the mitral valve, including the anterolateral-to-posteromedial diameter (<i>D</i><sub>AlPm</sub>), anterior-to-posterior diameter (<i>D</i><sub>AP</sub>), annulus height (<i>H</i><sub>A</sub>), three-dimensional annulus circumference (<i>C</i><sub>A3D</sub>), two-dimensional annulus area (<i>AA</i><sub>2D</sub>), anterior leaflet area (<i>A</i><sub>ant</sub>), posterior leaflet area (<i>A</i><sub>post</sub>), anterior leaflet length (<i>L</i><sub>ant</sub>), posterior leaflet length (<i>L</i><sub>post</sub>), and tenting volume (<i>V</i><sub>tent</sub>) compared to the control group.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Real-time three-dimensional transesophageal echocardiography provides valuable insights into the morphological structure of the mitral valve and lesion location. 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Mitral valvuloplasty using real-time three-dimensional transesophageal echocardiography
Objective
This study aimed to investigate the structure of the mitral valve in patients undergoing mitral valvuloplasty (MVP) using real-time three-dimensional transesophageal echocardiography (RT-3D-TEE). The main objective was to study the relationship between intraoperative annuloplasty ring size and mitral valve structure dimensions, with a focus on exploring the application value of RT-3D-TEE in MVP.
Methods
A total of 28 patients with degenerative mitral regurgitation (DMR), who underwent MVP between February and September 2022, as well as 12 normal control cases, were enrolled in this study. The MV annulus and leaflets were quantitatively analyzed using MVN software.
Results
The DMR group exhibited significantly greater dimensions in various parameters of the mitral valve, including the anterolateral-to-posteromedial diameter (DAlPm), anterior-to-posterior diameter (DAP), annulus height (HA), three-dimensional annulus circumference (CA3D), two-dimensional annulus area (AA2D), anterior leaflet area (Aant), posterior leaflet area (Apost), anterior leaflet length (Lant), posterior leaflet length (Lpost), and tenting volume (Vtent) compared to the control group.
Conclusion
Real-time three-dimensional transesophageal echocardiography provides valuable insights into the morphological structure of the mitral valve and lesion location. It can aid in surgical decision-making, validate the success of MVP, and potentially reduce mortality and complications associated with mitral valve repair procedures.
期刊介绍：
The ANNALS OF NONINVASIVE ELECTROCARDIOLOGY (A.N.E) is an online only journal that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients.
ANE is the first journal in an evolving subspecialty that incorporates ongoing advances in the clinical application and technology of traditional and new ECG-based techniques in the diagnosis and treatment of cardiac patients. The publication includes topics related to 12-lead, exercise and high-resolution electrocardiography, arrhythmias, ischemia, repolarization phenomena, heart rate variability, circadian rhythms, bioengineering technology, signal-averaged ECGs, T-wave alternans and automatic external defibrillation.
ANE publishes peer-reviewed articles of interest to clinicians and researchers in the field of noninvasive electrocardiology. Original research, clinical studies, state-of-the-art reviews, case reports, technical notes, and letters to the editors will be published to meet future demands in this field.
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