Chapter-50 Three-Dimensional Transthoracic and Transesophageal Echocardiographic Evaluation of Prosthetic Valves

BOOK TITLE: Comprehensive Textbook of Echocardiography (2 Volumes)

1. Nanda Navin C
2. Bleich Steven
Publishing Year
Author Affiliations
1. UAB School of Medicine, Birmingham, Alabama, USA, Heart Station/Echocardiography Laboratories, University of Alabama at Birmingham; University of Alabama Health Services Foundation, The Kirklin Clinic, Birmingham, Alabama, USA; International Society of Cardiovascular Ultrasound, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA, University of Alabama at Birmingham, Alabama, USA; Echocardiography A Journal of Cardiovascular Ultrasound and Allied Techniques; International Society of Cardiovascular Ultrasound (ISCU), University of Alabama, Birmingham, AL, USA
2. University of Alabama at Birmingham Birmingham, Alabama, USA, University of Alabama, Birmingham, Alabama, USA
Chapter keywords
3D transthoracic, 3DE, Mitral valve, Paravalvular aortic, Paravalvular defect, Paravalvular mitral, Paravalvular regurgitation, Prosthetic aortic valve, Prosthetic valves, Transesophageal echocardiographic


This chapter introduces 3D transthoracic and transesophageal echocardiographic evaluation of prosthetic valves with 3DE, a prosthetic valve in its entirety is acquired in the 3D data set, and this facilitates a comprehensive examination using multiple planes. The prosthetic valve can also be easily viewed en face from the top, bottom, as well as from the sides to assess for any abnormalities, which is often difficult with 2D echocardiography. Thus, both 3D TTE and 3D TEE have the potential to provide incremental value over 2D echocardiographic modalities in the evaluation of prosthetic valves. 28 self-explanatory and comprehensive images are included in this chapter. 11 references are given at the end of the chapter to facilitate further reading.

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