Open AccessUtility of Multidetector Computed Tomographic Angiography as an Alternative to Transesophageal Echocardiogram for Preoperative Transcatheter Mitral Valve Repair Planning
Author(s) -
Craig Basman,
Caroline Ong,
Tikal Kansara,
Zain Kassam,
Caleb Wutawunashe,
Jennifer Conroy,
Arber Kodra,
Biana Trost,
Priti Mehla,
Luigi Pirelli,
Jacob Scheinerman,
Varinder Singh,
Chad Kliger
Publication year - 2023
Publication title -
journal of cardiovascular imaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.699
H-Index - 18
eISSN - 2586-7210
pISSN - 2586-7296
DOI - 10.4250/jcvi.2022.0043
Subject(s) - medicine , mitral regurgitation , computed tomographic angiography , radiology , transesophageal echocardiogram , angiography , mitral valve , cardiology
Three-dimensional (3D) transesophageal echocardiogram (TEE) is the gold standard for the diagnosis of degenerative mitral regurgitation (dMR) and preoperative planning for transcatheter mitral valve repair (TMVr). TEE is an invasive modality requiring anesthesia and esophageal intubation. The severe acute respiratory syndrome coronavirus 2 pandemic has limited the number of elective invasive procedures. Multi-detector computed tomographic angiography (MDCT) provides high-resolution images and 3D reconstructions to assess complex mitral anatomy. We hypothesized that MDCT would reveal similar information to TEE relevant to TMVr, thus deferring the need for a preoperative TEE in certain situations like during a pandemic.