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Guiding Structural Interventions with 3D-Echo

  • Covadonga Fernández-Golfín LobánEmail author
  • Alejandra Carbonell San Román
  • José Luis Zamorano
Chapter

Abstract

Percutaneous treatment of structural heart disease is increasing. Both fluoroscopy and transesofageal echocardiography are needed to guide the procedures. Three-dimensional echocardiography overcomes some limitations encountered with two-dimensional echocardiography before, during and after the procedure, to evaluate results and assess possible complications. In the present chapter the role of three-dimensional echocardiography in these procedures is reviewed.

Keywords

3D Transesofageal echocardiography Percutaneous structural heart disease treatment TAVR Paravalvular leak Mitra Clip 

Supplementary material

Video 7.1

Real time 3D image after atrial septal defect closure. En face view from the left atrium showing the Amplatzer device left disc is shown (AVI 5393 kb)

Video 7.2

3D en face view of aortic Edward Sapiens valve. Valve leaflets are clearly seen with normal movement (AVI 828 kb)

Video 7.3

Zoom 3D image of the mitral valve. En face view (surgical view) with the aortic valve at 12 o’clock and the left atrial appendage at 9–10 o’clock. The anterior and posterior leaflets can be evaluated. No morphological leaflets abnormalities area noted, however a restricted motion of both leaflet is shown with a central coaptation defect (MP4 563 kb)

Video 7.4

Zoom 3D image of the mitral valve after MitraClip implantation. Two devices were placed at the level of A2 and P2. The devices as well as the double orifice valve opening are shown (MP4 603 kb)

Video 7.5

3D color imaging showing a mitral prostheses with severe paravalvular regurgitation, en face visualization from the atrial aspect in a surgical view position. Several leaks at the level of the posterior and posterolateral ring are noted (MP4 654 kb)

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Covadonga Fernández-Golfín Lobán
    • 1
    Email author
  • Alejandra Carbonell San Román
    • 1
  • José Luis Zamorano
    • 1
  1. 1.Cardiology DepartmentUniversity Hospital Ramón y CajalMadridSpain

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