The comparative value of transesophageal and transthoracic echocardiography before and after percutaneous mitral balloon valvotomy: a prospective study

American Heart Journal
D RittooT R Shaw

Abstract

Transthoracic (TTE) and transesophageal echocardiography (TEE) were performed prospectively on 53 consecutive patients (mean age 59 +/- 14 years) immediately before and within 24 hours of mitral balloon valvotomy to compare the relative value of the two techniques. Biplane TEE was used in 38 patients and single-plane imaging was done in 11. All patients underwent left and right cardiac catheterization, left ventriculography, and coronary angiography. While TEE provided excellent images of the mitral valve in all patients, imaging planes were more limited than by TTE. Mitral valve morphology could be assessed satisfactorily by either technique. Echo scores derived from each showed good correlation (r = 0.90, p < 0.001). TEE transgastric longitudinal scanning provided superior detail of the subvalvar apparatus but only in 20 (53%) of 38 patients. Patients with good transgastric views had significantly smaller left atrial volumes than those without (58 +/- 22 vs 106 +/- 41 cm3, p < 0.001). Mitral valve orifice and the commissures were better assessed by TTE. Before valvotomy, mitral regurgitation (MR) graded by TEE and TTE color flow mapping was concordant with angiography in 80% and 81%, respectively. After valvotomy, TTE color f...Continue Reading

References

May 1, 1990·Journal of the American College of Cardiology·P CasaleI F Palacios
Jun 1, 1989·Journal of the American College of Cardiology·A N DeMariaM R Harrison
Mar 1, 1989·Journal of the American College of Cardiology·M G SpainA N DeMaria
Apr 1, 1989·The American Journal of Cardiology·A VahanianJ Acar
Apr 1, 1968·Clinical Radiology·R E NagleR G Grainger
Mar 1, 1981·The Annals of Thoracic Surgery·J L VegaC M Duran

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Citations

Feb 1, 1996·Catheterization and Cardiovascular Diagnosis·J S Hung, K W Lau
Feb 15, 2001·Echocardiography·Vivian M. AbascalIgor F. Palacios
Feb 22, 2005·The American Heart Hospital Journal·Alan S Pearlman
Sep 1, 1994·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·D RittooT R Shaw
Jan 8, 2000·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·S H ParkM S Hyon
Jan 27, 2007·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Mohamed Eid Fawzy
Jul 1, 2010·Journal of the Saudi Heart Association·Mohamed Eid Fawzy

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