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Cardiac Anatomy by Three-Dimensional Echocardiography

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Echocardiography

Abstract

Real-time three-dimensional echocardiography appeared in the clinical arena nearly a decade ago. From the beginning, it was clear that this new technology would be a milestone in the “evolution” of ultrasounds. Indeed, this technique has the following unique peculiarities: it generates “live” images, in other words it shows the motion of a given structure in three-dimensions at the same moment in which the motion occurs; three-dimensional images appear almost identical to the anatomic specimens; and the operator can rotate and angulate the image on and off line, in any direction and illustrate the cardiac structures from a countless number of perspectives. Moreover, as in a kind of “electronic” dissection, the operator can crop, again on- and offline, the image, deleting redundant echoes and discovering hidden structures.

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References

  1. Lang RM, Badano LP, Tsang W, Adams DH, Agricola E, Buck T, et al. EAE/ASE recommendations for image acquisition and display using three-dimensional echocardiography. J Am Soc Echocardiogr. 2012;25:3–46.

    Article  Google Scholar 

  2. Perloff JK, Roberts WC. The mitral valve apparatus: functional anatomy of mitral regurgitation. Circulation. 1972;46:227–39.

    Article  CAS  Google Scholar 

  3. Angelini A, Ho SY, Anderson RH, et al. A histological study of atrio-ventricular junction in heart with normal and prolapsed leaflets of the mitral valve. Br Heart J. 1988;59:712–6.

    Article  CAS  Google Scholar 

  4. Levine RA, Handschumacher MD, Sanfilippo AJ, Hagege AA, Harrigan P, Marshall JE, Weyman AE. Three-dimensional echocardiographic reconstruction of the mitral valve, with implications for the diagnosis of mitral valve prolapse. Circulation. 1989;80:589–98.

    Article  CAS  Google Scholar 

  5. Salgo IS, Gorman JH 3rd, Gorman RC, Jackson BM, Bowen FW, Plappert T, et al. Effect of annular shape on leaflet curvature in reducing mitral valve stress. Circulation. 2002;06:711–7.

    Article  Google Scholar 

  6. Sugeng L, Shernan SK, Salgo IS, Weinert L, Shook D, Raman J, et al. Live three-dimensional transesophageal echocardiography: initial experience using the fully sampled matrix array probe. J Am Coll Cardiol. 2008;52:446–9.

    Article  Google Scholar 

  7. Biaggi P, Gruner C, Jedrzkiewicz S, Karski J, Meineri M, Vegas A, et al. Assessment of mitral valve prolapse by 3D TEE angled views are key. JACC Cardiovasc Imaging. 2011;4(1):94–7.

    Article  Google Scholar 

  8. Faletra FF, Demertzis S, Pedrazzini G, Murzilli R, Pasotti E, Muzzarelli S, et al. Three-dimensional transesophageal echocardiography in degenerative mitral regurgitation. J Am Soc Echocardiogr. 2015;28:437–48.

    Article  Google Scholar 

  9. Axel L. Papillary muscles does not attach directly to the solid heart wall. Circulation. 2004;109:3145–8.

    Article  Google Scholar 

  10. Ho Y. Structure and anatomy of the aortic root. Eur J Echocardiogr. 2009;10:i3–10.

    Article  Google Scholar 

  11. Faletra FF, Ramamurthi A, Dequarti MC, Leo LA, Moccetti T, Pandian N. Artifacts in three-dimensional transesophageal echocardiography. J Am Soc Echocardiogr. 2014;27:453–62.

    Article  Google Scholar 

  12. Sutton JP 3rd, Ho SY, Anderson RH. The forgotten interleaflet triangles: a review of the surgical anatomy of the aortic valve. Ann Thorac Surg. 1995;59:419–27.

    Article  Google Scholar 

  13. Stamm C, Anderson RH, Ho SY. Clinical anatomy of pulmonary root compared with that of isolated pulmonary valvular stenosis. J Am Coll Cardiol. 1998;31:1420–5.

    Article  CAS  Google Scholar 

  14. Faletra FF, Ho SY, Auricchio A. Anatomy of right atrial structures by real-time 3D transesophageal echocardiography. J Am Coll Cardiol Imaging. 2010;3:966–75.

    Article  Google Scholar 

  15. Cabrera JA, Sanchez-Quintana D, Farre J, Rubio JA, Ho SY. The inferior right atrial isthmus: further architectural insights for current and coming ablation technologies. J Cardiovasc Electrophysiol. 2005;16:402–8.

    Article  Google Scholar 

  16. Ho SY, Anderson RH, Sanchez-Quintana D. Atrial structure and fibres: morphological basis of atrial conduction. Cardiovasc Res. 2002;54:325–36.

    Article  CAS  Google Scholar 

  17. Faletra FF, Nucifora G, Ho SY. Imaging the atrial septum using real-time three-dimensional transesophageal echocardiograpy: technical tips, normal anatomy, and its role in transseptal puncture. J Am Soc Echocardiogr. 2011;24:593–9.

    Article  Google Scholar 

  18. Nucifora G, Faletra FF, Regoly F, Pasotti E, Pedrazzini G, Moccetti T, Auricchio A. Evaluation of left atrial appendage with real-time transesophageal echocardiography: implication for catheter-based left atrial appendage closure. Circ Cardiovasc Imaging. 2011;4:514–23.

    Article  Google Scholar 

  19. Ho SY, Sanchez-Quintana D, Cabrera JA, Anderson RH. Anatomy of the left atrium: implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol. 1999;10:1525–33.

    Article  CAS  Google Scholar 

  20. Faletra FF, Ho SY, Regoly F, Acena M, Auricchio A. Real-time three-dimensional transoesophageal echocardiography in imaging key anatomical structures of the left atrium: potential role during atrial fibrillation ablation. Heart. 2013;99:33–42.

    Google Scholar 

  21. Subramaniam C, Krishnan MD, Miguel Salazar MD. Septal pouch in the left atrium. A new anatomical entity with potential for embolic complications. J Am Coll Cardiol Interv. 2010;3:98–104.

    Article  Google Scholar 

  22. Ho SY, Nihoyannapoulos P. Anatomy, echocardiography and normal right ventricular dimensions. Heart. 2006;92(Suppl I):i2–i13.

    Article  Google Scholar 

  23. Van der Zwaan HB, KGeleijnse ML, McGhie JS, Boersma E, Helbing WA, Meijboom FJ, Roos-Hesselink JW. Right ventricular quantification in clinical practice: two-dimensional vs. three-dimensional echocardiography compared with cardiac magnetic resonance imaging. Eur J Echocardiogr. 2011;12:656–64.

    Article  Google Scholar 

  24. Jenkins C, Bricknell K, Hanekom L, Marwick TH. Reproducibility and accuracy of echocardiographic measurements of left ventricular parameters using real-time three-dimensional echocardiography. J Am Coll Cardiol. 2004;44:878–86.

    Article  Google Scholar 

  25. Kapetanakis S, Kearney MT, Siva A. Real-time three dimensional echocardiography: a novel technique to quantify global left ventricular mechanical dyssynchrony. Circulation. 2005;112:992–1000.

    Article  CAS  Google Scholar 

  26. Sugeng L, Mor-Avi V, Weinert L, Niel J, Ebner C, Steringer-Mascherbauer R, Schmidt F, Galuschky C, Schummers G, Lang RM, Nesser HJ. Quantitative assessment of left ventricular size and function: side-by-side comparison of real-time three-dimensional echocardiography and computed tomography with magnetic resonance reference. Circulation. 2006;114:654–61.

    Article  Google Scholar 

  27. Mor-Avi V, Jenkins C, Kuhl HP, et al. Real-time 3-dimensional echocardiographic quantification of left ventricular volumes. Multicenter study for validation with magnetic resonance imaging and investigation of source of errors. J Am Coll Cardiol Imaging. 2008;1(4):413–23.

    Article  Google Scholar 

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Correspondence to Francesco F. Faletra .

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Faletra, F.F., Murzilli, R., Leo, L.A., Ho, S.Y. (2018). Cardiac Anatomy by Three-Dimensional Echocardiography. In: Nihoyannopoulos, P., Kisslo, J. (eds) Echocardiography. Springer, Cham. https://doi.org/10.1007/978-3-319-71617-6_4

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  • DOI: https://doi.org/10.1007/978-3-319-71617-6_4

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