Abstract
s S97 Eur J Echocardiography Abstracts Supplement, December 2006 Technologies, with multiplane TEE probe. Fifteen patients had successful mitral valve repair and 35 patients required valve replacement. The echocardiographic data were compared with intraoperative findings. Results: An interpretable 3D image was obtained in 47 from 50 patients. There was an excellent correspondence between the echocardiographic characterization of the mitral valve morphology and surgical inspection. 3D TEE reconstruction correctly identified the lesions, as confirmed intraoperatively. The MR etiology was: mitral valve prolapse in 13 p, endocarditis lesions in 22 p, rheumatic disease in 6 p, and degenerative disease in 2 p. The patients with mechanical prosthesis underwent surgical correction for periprosthetic MR. Based on intraoperative findings, sensitivity for the diagnosis of MR mechanism using 3D TEE was 92% and specificity was 98%. Conclusions: In patients with significant MR, 3D echo offers a correct view of the entire valve, allowing a complete assessment of the mitral apparatus. This technique can be useful, an advantage to the surgeon in the surgical planning of mitral valve repair.
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