Capabilities of three-dimensional image rendering technology TrueView for transesophageal echocardiography of aortic aneurysm dissection

Authors: Alekhin M.N., Gogin G.E., Kryuchkova O.V., Molochkov A.V.

Company: Central Clinical Hospital with Out-Patient Clinic of Department of Presidential Affairs, Moscow, 121359, Russian Federation

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Type:  Case reports


DOI: https://doi.org/10.24022/1997-3187-2021-15-1-118-124

For citation: Alekhin M.N., Gogin G.E., Kryuchkova O.V., Molochkov A.V. Capabilities of three-dimensional image rendering technology TrueVue for transesophageal echocardiography of aortic aneurysm dissection. Creative Cardiology. 2021; 15 (1): 118–24 (in Russ.). DOI: 10.24022/ 1997-3187-2021-15-1-118-124

Received / Accepted:  01.03.2021 / 10.03.2021

Keywords: echocardiography transesophageal echocardiography three-dimensional echocardiography aortic aneurism dissection

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Abstract

The article presents a clinical case of a patient with an aortic aneurysm dissection who successfully used TrueVue technology during intraoperative transesophageal monitoring during aortic prosthetic surgery. The imaging capabilities of three-dimensional transesophageal echocardiography can be significantly expanded using the recently proposed new photorealistic technology TrueVue. This technology is designed to improve the visualization of anatomical structures in the pink-red range of illumination due to a virtual light source with its arbitrary location inside the heart and with the possibility of changing the intensity of illumination. Using a virtual light source and simulating the illumination of the surrounding heart structures creates a more realistic perception of the depth of the image of the heart structures based on the differences between the highlighted structures and those in shadow. Currently, the possibilities of using TrueVue technology are shown for the diagnosis of valvular pathology, blood clots of the left auricle, limited ruptures of the intima of the ascending aorta, as well as when using various intracardiac devices. We used the TrueVue technology to clarify the state of detached intima in the root, ascending and descending parts of the aorta.

References

  1. Greenhalgh D.L., Patrick M.R. Perioperative transoesophageal echocardiography: past, present & future. Anaesthesia. 2012; 67 (4): 343–6. DOI: 10.1111/j.1365-2044.2012.07103.x
  2. Krichevskiy L.A., Dzybinskaya E.V. Fifteen years of transesophageal echocardiography in cardiac anesthesia in Russia. J. Cardiothorac. Vasc. Anesth. 2019; 33 (12): 3375–82. DOI: 10.1053/j.jvca.2019.06.001
  3. Bockeria L.A., Alshibaya M.M., Merzlyakov V.Yu., Sokol’skaya N.O., Kopylova N.S., Skripnik E.V. Intraoperative transesophageal echocardiography in patients with various forms of ischemic heart diseases. Clinical Physiology of Circulation. 2016; 13 (3): 139–47 (in Russ.).
  4. Rong L.Q. An update on intraoperative threedimensional transesophageal echocardiography. J. Thorac. Dis. 2017; 9 (Suppl. 4): S271–82. DOI: 10.21037/jtd.2017.03.123
  5. Genovese D., Addetia K., Kebed K., Kruse E., Yamat M., Narang A. et al. First clinical experience with 3-dimensional echocardiographic transillumination rendering. JACC Cardiovasc. Imaging. 2019; 12 (9): 1868–71. DOI: 10.1016/j.jcmg.2018.12.012
  6. Vairo A., Marro M., De Ferrari G.M., Rinaldi M., Salizzoni S. Use of a photo-realism 3D rendering technique to enhance echocardiographic visualization of the anatomical details during beating-heart mitral valve repair. Echocardiography. 2019; 36 (11): 2090–3. DOI: 10.1111/echo.14515
  7. Barbeito-Caamano C., Bouzas-Zubeldía B., Martín-Álvarez E., Souto-Caínzos B., BouzasMosquera A. An unusual presentation of prosthetic valve endocarditis: Utility of 3D transillumination rendering. Echocardiography. 2021; 38 (1): 144–6. DOI: 10.1111/echo.14933
  8. Vainrib A.F., Bamira D., Aizer A., Chinitz L.A., Loulmet D., Benenstein R.J., Saric M. Photorealistic imaging of left atrial appendage occlusion/exclusion. Echocardiography. 2019; 36 (8): 1601–4. DOI: 10.1111/echo.14438
  9. La Canna G., Formisano T., Monti L., Torracca L., Scarf I. A subtle clinical phenotype of aortic limited intimal tear without hematoma. JACC Cardiovasc. Imaging. 2019; 12 (8 Pt. 1): 1572–7. DOI: 10.1016/j.jcmg.2018.11.012

About Authors

  • Mikhail N. Alekhin, Dr. Med. Sc., Head of Department, ORCID
  • Grigoriy E. Gogin, Cand. Med. Sc., Physician, ORCID
  • Oksana V. Kryuchkova, Cand. Med. Sc., Head of Department, ORCID
  • Anatoliy V. Molochkov, Dr. Med. Sc., Head of Department, 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