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Understanding the Aortic Root Using Computed Tomographic Assessment: A Potential Pathway to Improved Customized Surgical Repair.
Tretter, Justin T; Izawa, Yu; Spicer, Diane E; Okada, Kenji; Anderson, Robert H; Quintessenza, James A; Mori, Shumpei.
Afiliación
  • Tretter JT; Heart Institute, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, University of Cincinnati College of Medicine, OH (J.T.T.).
  • Izawa Y; Division of Cardiovascular Medicine, Department of Internal Medicine (Y.I.), Kobe University Graduate School of Medicine, Japan.
  • Spicer DE; Heart Institute, Johns Hopkins All Children's Hospital, St. Petersburg, FL (D.E.S., J.A.Q.).
  • Okada K; Department of Cardiovascular Surgery (K.O.), Kobe University Graduate School of Medicine, Japan.
  • Anderson RH; Cardiovascular Research Centre, Biosciences Institute, Newcastle University, Newcastle upon Tyne, United Kingdom (R.H.A.).
  • Quintessenza JA; Heart Institute, Johns Hopkins All Children's Hospital, St. Petersburg, FL (D.E.S., J.A.Q.).
  • Mori S; UCLA Cardiac Arrhythmia Center, UCLA Health System, David Geffen School of Medicine at UCLA (S.M.).
Circ Cardiovasc Imaging ; 14(11): e013134, 2021 11.
Article en En | MEDLINE | ID: mdl-34743527
There is continued interest in surgical repair of both the congenitally malformed aortic valve, and the valve with acquired dysfunction. Aortic valvar repair based on a geometric approach has demonstrated improved durability and outcomes. Such an approach requires a thorough comprehension of the complex 3-dimensional anatomy of both the normal and congenitally malformed aortic root. In this review, we provide an understanding of this anatomy based on the features that can accurately be revealed by contrast-enhanced computed tomographic imaging. We highlight the complimentary role that such imaging, with multiplanar reformatting and 3-dimensional reconstructions, can play in selection of patients, and subsequent presurgical planning for valvar repair. The technique compliments other established techniques for perioperative imaging, with echocardiography maintaining its central role in assessment, and enhances direct surgical evaluation. This additive morphological and functional information holds the potential for improving selection of patients, surgical planning, subsequent surgical repair, and hopefully the subsequent outcomes.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Válvula Aórtica / Tomografía Computarizada por Rayos X / Imagenología Tridimensional / Procedimientos Quirúrgicos Cardíacos / Enfermedades de las Válvulas Cardíacas Límite: Humans Idioma: En Revista: Circ Cardiovasc Imaging Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Válvula Aórtica / Tomografía Computarizada por Rayos X / Imagenología Tridimensional / Procedimientos Quirúrgicos Cardíacos / Enfermedades de las Válvulas Cardíacas Límite: Humans Idioma: En Revista: Circ Cardiovasc Imaging Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2021 Tipo del documento: Article Pais de publicación: Estados Unidos