Three-dimensional transesophageal echocardiography in the planning of reconstructive interventions on the aortic valve

Authors: Mironenko M.Yu., Muratov R.M., Mironenko V.A., Tkhashokova L.R., Golukhova E.Z. Three-dimensional

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Clinical Cases


DOI: https://doi.org/10.24022/1997-3187-2023-17-2-279-295

For citation: Mironenko M.Yu., Muratov R.M. , Mironenko V.A., Tkhashokova L.R., Golukhova E.Z. Three-dimensional transesophageal echocardiography in the planning of reconstructive interventions on the aortic valve. Creative Cardiology. 2023; 17 (2): 279–95 (in Russ.). DOI: 10.24022/1997-3187-2023-17-2-279-295

Received / Accepted:  12.05.2023 / 29.05.2023

Keywords: 3D echocardiography normal aortic valve bicuspid aortic valve aortic regurgitation reconstructive aortic valve surgery



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Abstract

The advantage of reconstructive surgery is undeniable in the surgical treatment of patients with valvular pathology, especially at a young age. This type of intervention is more preferable on the aortic valve in patients with aortic regurgitation with or without a proximal aortic aneurysm in the diagnosis, as noted in the latest clinical guidelines for the treatment of aortic insufficiency of the Ministry of Health of the Russian Federation. However, the frequency of aortic valve reconstruction in clinical practice is inferior to radical operations. The main purpose of the article is to describe the normal and bicuspid aortic valve using three-dimensional echocardiography in terms of the proposed reconstructive operation, the need for standardization of the echocardiographic protocol for assessing the condition and function of the aortic valve for cardiac surgeons. The study of the morphofunctional state of the aortic valve of the heart is necessary to select a more effective reconstructive intervention and predict the outcomes of the postoperative period. Three-dimensional echocardiography is the most sensitive imaging modality in the prognosis and assessment of aortic valve reconstruction in aortic valve insufficiency.

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About Authors

  • Marina Yu. Mironenko, Cand. Med. Sci., Head of Department, Ultrasonic Diagnostics Physician; ORCID
  • Renat M. Muratov , Dr. Med. Sci., Professor, Head of Department, Cardiovascular Surgeon; ORCID
  • Vladimir A. Mironenko, Dr. Med. Sci., Head of Department, Cardiovascular Surgeon; ORCID
  • Luiza R. Tkhashokova, Ultrasonic Diagnostics Physician, Postgraduate; ORCID
  • Elena Z. Golukhova, Dr. Med. Sci., Professor, Academician 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