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ECHO 2013 / The Role of 3D Echo in Valvular Heart Disease

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Why is localizing the scallop

important?

Probability of Repair

P2excellent

Anterior leaflet and other posterior scallops less good

Three-D helps identify which patients are

more likely to be repaired vs. replaced

Fibro-elastic deficiency vs.

Barlow’s

Examples of views of the MV from the left atrial perspective obtained in 2 patients with DMVD.

Chandra S et al. Circ Cardiovasc Imaging 2011;4:24-32

Copyright © American Heart Association

Scatterplots demonstrating the cutoff values of 1.0 mm for billowing height (vertical dashed line) and cutoff value of 1.15 mL for billowing volume (horizontal dashed line) in differentiating patients with BD versus FED.

Chandra S et al. Circ Cardiovasc Imaging 2011;4:24-32

Copyright © American Heart Association

Functional

Ischemic, Non-ischemic

Can 3D help with

quantitation?

Yes