The functional aortic annulus in the 3D era: focus on transcatheter aortic valve replacement for the perioperative echocardiographer.
Publication/Presentation Date
2-1-2015
Abstract
The functional aortic annulus represents a sound clinical framework for understanding the components of the aortic root complex. Recent three-dimensional imaging analysis has demonstrated that the aortic annulus frequently is elliptical rather than circular. Comprehensive three-dimensional quantification of this aortic annular geometry by transesophageal echocardiography and/or multidetector computed tomography is essential to guide precise prosthesis sizing in transcatheter aortic valve replacement to minimize paravalvular leak for optimal clinical outcome. Furthermore, three-dimensional transesophageal echocardiography accurately can quantify additional parameters of the functional aortic annulus such as coronary height for complete sizing profiles for all valve types in transcatheter aortic valve replacement. Although it is maturing rapidly as a clinical imaging modality, its role in transcatheter aortic valve replacement is seen best as complementary to multidetector computed tomography in a multidisciplinary heart team model.
Volume
29
Issue
1
First Page
240
Last Page
245
ISSN
1532-8422
Published In/Presented At
Patel, P. A., Gutsche, J. T., Vernick, W. J., Giri, J. S., Ghadimi, K., Weiss, S. J., Jagasia, D. H., Bavaria, J. E., & Augoustides, J. G. (2015). The functional aortic annulus in the 3D era: focus on transcatheter aortic valve replacement for the perioperative echocardiographer. Journal of cardiothoracic and vascular anesthesia, 29(1), 240–245. https://doi.org/10.1053/j.jvca.2014.05.027
Disciplines
Medicine and Health Sciences
PubMedID
25620147
Department(s)
Department of Surgery
Document Type
Article