Bench to Bedside: Dynamic Mitral Valve Assessment

• Published in: Journal of cardiothoracic and vascular anesthesia Vol. 25; no. 5; pp. 863 - 866
• Main Authors: Warraich, Haider Javed, MD, Shahul, Sajid, MD, Matyal, Robina, MD, Mahmood, Feroze, MD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.10.2011
• Subjects: 3-dimensional transesophageal echocardiography; Anesthesia & Perioperative Care; Cardiac Surgical Procedures; Computer Simulation; Critical Care; Echocardiography, Three-Dimensional - instrumentation; Echocardiography, Three-Dimensional - methods; Humans; Image Processing, Computer-Assisted; Mitral Valve - diagnostic imaging; Mitral Valve - surgery; mitral valve assessment software; mitral valve geometry; Mitral Valve Insufficiency - diagnostic imaging; Point-of-Care Systems; prosthetic mitral valve; Software; Systole - physiology; User-Computer Interface; mitral valve geometry; 3-dimensional transesophageal echocardiography; prosthetic mitral valve; mitral valve assessment software
• ISSN: 1053-0770; 1532-8422
• DOI: 10.1053/j.jvca.2011.06.021

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.