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Date Published: 24/01/2024
Online Published: 27/02/2024
Abstract Views: 194
Views PDF: 73
DOI: https://doi.org/10.47972/vjcts.v45i.1088
Issue
Vol. 45
Section
Research Article
How to Cite
Nguyen, T. T. H., Nguyen, T. T. T., & Pham, M. H. (2024). Comparison between 2d transthoracic echocardiography, 3d transthoracic/ transesophageal echocardiography and computed tomography for tricuspid annulus assessment in patients with severe tricuspid regurgitation. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 45, 38-47. https://doi.org/10.47972/vjcts.v45i.1088

Comparison between 2d transthoracic echocardiography, 3d transthoracic/ transesophageal echocardiography and computed tomography for tricuspid annulus assessment in patients with severe tricuspid regurgitation

Thi Thu Hoai Nguyen1,2,3, , Thi Thu Thuy Nguyen4, Manh Hung Pham3,5
1 Viện Tim Mạch, Bệnh Viện Bạch Mai.
2 Bộ Môn Nội, Trường Đại Học Y Dược, Đại Học Quốc Gia Hà Nội
3 Bộ Môn Tim Mạch, Trường Đại Học Y Hà Nội
4 Khoa Tim Mạch, Bệnh Viện 198 Bộ Công An
5 Viện Tim Mạch, Bệnh Viện Bạch Mai

Main Article Content

Abstract

Background: Severe tricuspid regurgitation (TR) is associated with high mortality rate. Tricuspid valve imaging is often challenging and requires the use of multiple modalities.


Understanding discrepancies and agreement among different imaging techniques is crucial for planning transcatheter valve interventions.


Aims: Comparison between two-dimensional transthoracic echocardiography, three-dimensional transthoracic/ transesophageal echocardiography and computed tomography for comprehensive tricuspid annulus (TA) assessment in severe TR patients.


Patients and Methods: From 08/2019 to 09/2020, forty patients with severe TR were included in this study. TA measurements were made at end diastole using two-dimensional (2D) transthoracic echocardiography (TTE), three-dimensional (3D) TTE direct planimetry and transesophageal echocardiographic (TEE) direct planimetry. Both methods were compared with multi-detector computed tomographic (MDCT) planimetry.


Results: TA diameters measured with 2D TTE were smaller compared with direct MDCT measurements (40.5 ± 7.2 mm vs 43.3 ± 13.5 mm, p<0.05 on 4-chamber view, và 32.6 ± 7.4mm vs 38.0 ± 12.4mm, p<0.05 on short-axis view). There was no significant difference between TA diameters measured with 3D TTE/ 3D TEE and MDCT measurements (42,8 ± 7,1 mm / 43,6 ± 7,4mm vs 43,3 ± 13,5 mm, p>0,05 on 4-chamber view and 35,7 ± 6,1 mm /39,1 ± 7,6 mm vs 38,0 ± 12,4 mm, p > 0,05 on short-axis view). TA circumferences on 3D TTE and 3D TEE strongly correlated to TA circumference on MDCT (r=0,62, p<0,05 và r=0,54, p<0,05, respectively).  TA areas on 3D TTE and 3D TEE very strongly correlated to TA area on MDCT (r = 0,87, p < 0,05 và r = 0,89, p < 0,05, respectively).  


Conclusions: Tricuspid annular size measured with 3D TTE and 3D TEE strongly correlated to tricuspid annular measurements on MDCT.

Article Details

Keywords

Tricuspid regurgitation, tricuspid annular, 3D transthoracic echocardiography, 3D transesophageal echocardiography, multi-detector computed tomography

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