Left Atrium and Pulmonary Veins Examination using Real-Time Three-Dimensional Transesophageal Echocardiography
Abstract
Left atrium and pulmonary veins examination using two- and three-dimensional real-time transesophageal echocardiography was performed in 63 cardiac surgery patients (36 men and 27 women) aged from 31 up to 79 years old. There were 6 cases of rheumatic mitral stenosis, 10 - connective tissue dysplasia and mitral valve chordae rupture, 21 - aortic stenosis of different etiology, 18 - aortic ascending aneurysms and aortic insufficiency, 6 - ischemic heart disease, and 2 - left atrial mass. There were advantages of three-dimensional echocardiography performed from middle part of esophagus in comparison with two-dimensional echocardiography. It was useful for assessment of pulmonary veins orifices anatomy, left atrial appendage, and intraventricular septum. Transgastric access during transesophageal echocardiography using two- and three-dimensional modes was more accurate for left atrial size and volume assessment. Significant differences of left atrial active stroke volume were revealed between two- and three-dimensional real-time transesophageal echocardiography.
About the Authors
A. R. Karshieva
B.V. Petrovsky Russian Research Surgery Center
Russian Federation
Russian Federation
T. A. Buravikhina
B.V. Petrovsky Russian Research Surgery Center
Russian Federation
Russian Federation
V. A. Sandrikov
B.V. Petrovsky Russian Research Surgery Center
Russian Federation
Russian Federation
S. V. Fedulova
B.V. Petrovsky Russian Research Surgery Center
Russian Federation
Russian Federation
A. N. Dzeranova
B.V. Petrovsky Russian Research Surgery Center
Russian Federation
Russian Federation
References
1. Буравихина Т.А., Федулова С.В., Кузнецова Л.М., Каршиева А.Р., Дзеранова А.Н. Трехмерная интраоперационная чреспищеводная эхокардиография // Ультразвуковая и функциональная диагностика. 2013. № 2. С. 43-48.
2. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography // Eur. Heart J. Cardiovasc. Imaging. 2012. V. 13. No. 1. P. 1-46.
3. Faletra F.F., Regoli F., Nucifora G., Auricchio A. Real-time, fluoroless, anatomic-guided catheter navigation by 3D TEE during ablation procedures // JACC. Cardiovasc. Imaging. 2011. V. 4. No. 2. P. 203-206.
4. Покушалов Е.А., Сурмава А.Е., Курбатов В.П. Возможности и роль многосрезовой спиральной компьютерной томографии в определении анатомии левого предсердия и легочных вен при планировании лечения фибрилляции предсердий // Медицинская визуализация. 2007. № 4. С. 59-65.
5. Faletra F.F., Ho S.Y., Auricchio A. Anatomy of right atrial structures by real-time 3D transesophageal echocardiography // JACC. Cardiovasc. Imaging. 2010. V. 3. No. 9. P. 966-975.
6. Faletra F.F., Nucifora G., Ho S.Y. Imaging the atrial septum using real-time three-dimensional transesophageal echocardiography: technical tips, normal anatomy, and its role in transseptal puncture // J. Am. Soc. Echocardiogr. 2011. V. 24. No. 6. P. 593-599.
7. Anwar A.M., Soliman O.I., Geleijnse M.L., Nemes A., Vletter W.B., ten Cate F.J. Assessment of left atrial volume and function by real-time three-dimensional echocardiography // Int. J. Cardiol. 2008. V. 123. No. 2. P. 155-161.
8. Шиллер Н., Осипов М.А. Клиническая эхокардиография. М.: Медицина, 1993. C. 251.
9. Эхокардиография: Практическое руководство /Под ред. Э. Райдинг. Пер. с англ. М.: МЕДпресс-информ, 2010. C. 235-238.
10. Закрытие ушка левого предсердия имплантом WATCHMAN: Руководство для врачей / Пер. с англ. под ред. А.П. Савченко. М., 2012. 72 с.
11. Syed T.M., Halperin J.L. Left atrial appendage closure for stroke prevention in atrial fibrillation: state of the art and current challenges // Nat. Clin. Pract. Cardiovasc. Med. 2007. V. 4. No. 8. P. 428-435.
12. Otto C. Textbook of Clinical Echocardiography. 4th ed. London: Elsevier, 2009. 608 p.
13. Lester S.J., Ryan E.W., Schiller N.B., Foster E. Best method in clinical practice and in research studies to determine left atrial size // Am. J. Cardiol. 1999. V. 84. No. 7. P. 829-832.
14. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC) // J. Hypertens. 2013. V. 31. No. 7. P. 1281-1357.
15. Karabinos I., Grassos C., Kostaki P., Kranidis A. Echocardiography in the evaluation of a hypertensive patient: an invaluable tool or simply following the routine? // Hellenic J. Cardiol. 2013. V. 54. No. 1. P. 47-57.
Review
For citations:
Karshieva A.R., Buravikhina T.A., Sandrikov V.A., Fedulova S.V., Dzeranova A.N. Left Atrium and Pulmonary Veins Examination using Real-Time Three-Dimensional Transesophageal Echocardiography. Ultrasound & Functional Diagnostics. 2015;32(3):47-55. (In Russ.)
Views:
26
JATS XML
Email this article 