Department of Cardiology, University of Leipzig, Leipzig, Germany.
Servei de Cardiologia, Hospital Universitari Vall d'Hebron, CIBER-CV, Barcelona, Spain.
JACC Cardiovasc Imaging. 2019 Nov;12(11 Pt 1):2225-2244. doi: 10.1016/j.jcmg.2018.06.032. Epub 2019 Mar 13.
Reconstructive surgery of the aortic valve is being increasingly used in patients with aortic regurgitation and/or aortic aneurysm. Its success depends on restoring normal aortic valve and root form. Echocardiography is the most reliable and precise imaging technique because it defines abnormal morphology and function, essential for selecting appropriate substrates and guiding the surgical strategy. Despite technical advances in echocardiography, aortic valve and aortic root morphology and function are still assessed mainly using 2-dimensional echocardiography in clinical practice. This review focuses on the need to use 3-dimensional echocardiography to characterize different forms of aortic valve and root abnormalities and attempts to define echocardiographic predictors of successful valve-root complex repair.
主动脉瓣重建手术越来越多地用于治疗主动脉瓣反流和/或主动脉瘤患者。手术的成功取决于能否恢复正常的主动脉瓣和根部形态。超声心动图是最可靠和精确的成像技术，因为它可以确定异常的形态和功能，这对于选择合适的底物和指导手术策略至关重要。尽管超声心动图技术取得了进展，但在临床实践中，主动脉瓣和主动脉根部的形态和功能仍主要通过二维超声心动图进行评估。本综述重点介绍了使用三维超声心动图来描述不同形式的主动脉瓣和根部异常的必要性，并尝试确定预测瓣-根复合体修复成功的超声心动图指标。
