Echocardiographie 3D & Valve Mitrale - Cardiologie-francophone
Echocardiographie 3D & Valve Mitrale - Cardiologie-francophone
Echocardiographie 3D & Valve Mitrale - Cardiologie-francophone
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<strong>Echocardiographie</strong> <strong>3D</strong><br />
&<br />
<strong>Valve</strong> <strong>Mitrale</strong><br />
Philippe Acar<br />
Hôpital des Enfants<br />
Toulouse<br />
Journée d’<strong>Echocardiographie</strong> Libanaise<br />
26 Novembre 2005
<strong>Echocardiographie</strong> <strong>3D</strong><br />
TM<br />
2D<br />
<strong>3D</strong>
¦§¨<br />
¡¢<br />
¡£¤<br />
©<br />
¥<br />
Acquisition<br />
Reconstruction<br />
Quantification<br />
Digital<br />
Digital<br />
Digital
Vues <strong>3D</strong><br />
Quantification
Fente<br />
<strong>Mitrale</strong><br />
superior<br />
inferior<br />
mural<br />
40±7%<br />
(28-55%)<br />
35±5%<br />
(27-48%)<br />
25±6%<br />
(12-36%)<br />
Acar et al. Am J Cardiol 1999;83:745-9
Prolapsus<br />
Mitral<br />
Chauvel et al.<br />
J Heart <strong>Valve</strong> Dis 2000
Fuite<br />
<strong>Mitrale</strong><br />
De Simone R. 2000;86:1343-8<br />
2DE<br />
14<br />
12<br />
10<br />
8<br />
cm2<br />
y = 0.1x + 5<br />
p= NS<br />
r= 0.41<br />
n= 22<br />
<strong>3D</strong>E<br />
35<br />
30<br />
25<br />
20<br />
ml<br />
y = 0.77x + 3.6<br />
p< 0.0001<br />
r= 0.92<br />
n= 22<br />
6<br />
15<br />
4<br />
10<br />
2<br />
0<br />
0 5 10 15 20 25 30 35<br />
ml/b<br />
5<br />
0<br />
0 5 10 15 20 25 30 35<br />
ml/b
PISA<br />
Khanna 2005<br />
Echocardiography;21:737-43
Sténose<br />
<strong>Mitrale</strong><br />
Zamorano et al. Eur Heart J 2004;25:2086-91
Taktak et al. Arch Mal Coeur 2005<br />
Malformation<br />
D’Ebstein
Acar et al. Prenatal Diagn 2005<br />
<strong>Echocardiographie</strong> <strong>3D</strong><br />
foetale
Echo 2D en 1980
Echo <strong>3D</strong> en 2010
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