Aug 2026· Echocardiography· Vol 43· 0 citations· 30 references
Medicine
TL;DR
Three-dimensional TEE-derived Vena Contracta area (3D TEE VCA) is a reliable and accurate method for assessing the severity of secondary mitral regurgitation and its use as a replacement for TEE warrants confirmation in larger multicenter studies with external validation.
Abstract
Secondary mitral regurgitation (MR) is associated with substantial cardiovascular morbidity and mortality, making accurate severity assessment essential for clinical management. Conventional 2D echocardiography has important limitations, particularly in the presence of noncircular regurgitant orifices. Three‐dimensional transesophageal echocardiography (3D‐TEE) enables direct measurement of Vena Contracta area (VCA) and may provide more accurate quantification of MR severity.
3D VCA reliably quantifies MR, provides aetiology‐specific cut‐offs and outperforms 2D methods in complex jets, andMulticenter validation is needed, particularly in rheumatic‐endemic regions.
Yosra Messaoudi, Dedde El Bechir, Abdellaziz Ghadhab et al.· Echocardiography· 0 citations
In patients with DMR, AF was associated with more advanced LA structural remodeling, impaired LA function, and higher CMR LGE burden, and echocardiographic LA functional parameters may provide complementary information for the discrimination of AF.
X. Li, Y. Song, Y. Hu et al.· medRxiv· 0 citations
Three-dimensional echocardiography compared well with CMR in delineation of severity of regurgitation (mild, moderate, and severe) and intra- and intra-observer reliability was excellent for ventricular volumes, VVR, and RF.
J. Kuebler, M. Moleon-Shea, Minmin Lu et al.· Pediatric Cardiology· 0 citations
Whatever the quantification method, the prevalence of FMR has declined compared to the past, driven by the contemporary GDMT, and EROA-PISA remains the reference standard, while automated 3D volumetric assessment serves as a physiologically consistent complementary approach.
A. Malagoli, G. Benfari, Kevin Serafini et al.· The International Journal of...· 0 citations
TTE is recommended as the first-line CRAT screening tool for MHD patients and combined TTE and DSA use improves diagnostic yield, and regular targeted surveillance for high-risk individuals reduces CRAT incidence.
Fen Yu, Xiaomei Huang, Jing-Jing Liu et al.· Journal of Clinical Medicine· 0 citations
3DTEE provides additional diagnostic and prognostic information for patients with PVE and higher diagnostic performance for perivalvular complications compared to NVE, suggesting that 3DTEE provides additional diagnostic and prognostic information for patients with PVE and higher diagnostic performance for perivalvular...
L. Capotosto, E. Mangieri, G. Tanzilli et al.· American Journal of Cardiolo...· 0 citations
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