Comparison of radiological diagnostic methods in assessing the size of the outflow tract of the left ventricle of the heart and the aortic root in patients with aortic stenosis

Authors: Bergen T.A., Kobelev E., Tarkova A.R., Krestyaninov O.V., Fridman A.V., Usov V.Yu., Zhuravleva I.Yu., Chernyavskiy A.M.

Company: National Medical Research Center named after Academician E.N. Meshalkin, Novosibirsk, Russian Federation

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Type:  Original articles


DOI: https://doi.org/10.24022/1997-3187-2023-17-3-402-414

For citation: Bergen T.A., Kobelev E., Tarkova A.R., Krestyaninov O.V., Fridman A.V., Usov V.Yu., Zhuravleva I.Yu., Chernyavskiy A.M. Comparison of radiological diagnostic methods in assessing the size of the outflow tract of the left ventricle of the heart and the aortic root in patients with aortic stenosis. Creative Cardiology. 2023; 17 (3): 402–14 (in Russ.). DOI: 10.24022/1997-3187-2023-17-3-402-414

Received / Accepted:  01.09.2023 / 19.09.2023

Keywords: aortic valve stenosis 3D-modeling echocardiography magnetic resonance imaging computed tomography

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Abstract

Objective. To perform a comparative analysis of effectiveness of using radiology’s methods and to determine the features of the aortic root in patients with several aortic stenosis to improve the processes of mathematical modeling in the generation of new models of artificial aortic valve.

Material and methods. Retrospective analysis of data from patients with aortic stenosis. 1st study: the sizes of the anatomical structures of the aortic root were determined of computed tomographic angiography (CTA) (n=251). The 2nd study – analysis of the changes the size of the aortic root structures by CTA, echocardiography (Echo), magnetic resonance imaging (MRI) in different phases of the cardiac cycle.

Results. In 55.4% of patients, the diameter of the fibrous ring of the aortic valve is in the range of 23–26 mm. With 3D-Echo, in 80% of cases, when measuring the structures of the aortic root, there were insurmountable difficulties associated with the impossibility of reliable measurement of parameters due to the artefact of calcification on the fibrous ring of the aortic valve. The diameter of the fibrous ring according to CTA was 25.1±0.8 mm in systole and 25.6±0.6 mm in diastole. The size difference between CTA and MRI was 1.4±0.9 mm in systole and 0.8±1.0 mm in diastole. The change in size between the phases of the cardiac cycle in patients with several aortic stenosis according to CTA was 1.4±0.5 mm, according to MRI – 0.9±0.9 mm.

Conclusion. The new knowledge of the geometric and functional parameters of the aortic root have been obtained. The data can potentially affect the entire strategy of mathematical modeling in valvular pathology.

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About Authors

  • Tatyana A. Bergen, Dr. Med. Sci., Professor, Head of Department, Radiologist; ORCID
  • Evgeniy Kobelev, Junior Researcher, Radiologist; ORCID
  • Aleksandra R. Tarkova, Cand. Med. Sci., Leading Researcher, Ultrasonic Diagnostics Physician; ORCID
  • Oleg V. Krestyaninov, Dr. Med. Sci., Head of Department, Endovascular Surgeon; ORCID
  • Aleksandr V. Fridman, Radiologist; ORCID
  • Vladimir Yu. Usov, Dr. Med. Sci., Professor, Chief Researcher; ORCID
  • Irina Yu. Zhuravleva, Dr. Med. Sci., Professor, Director of the Institute of Experimental Biology and Medicine; ORCID
  • Aleksandr M. Chernyavskiy, Dr. Med. Sci., Professor, Corresponding Member of RAS, Director; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery