Ferrández-Escarabajal Marcos, Hadley Michael, Sanz Javier
The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA.
J Clin Med. 2024 Sep 1;13(17):5184. doi: 10.3390/jcm13175184.
The number of structural aortic valve procedures has increased significantly in recent years. Pre-procedural planning and follow-up with noninvasive testing are essential. Although cardiac magnetic resonance (CMR) is the gold standard for assessing left ventricular mass, volume, and function, it is not performed routinely in patients undergoing structural interventions. CMR can provide useful information for pre- and post-procedural assessment, including quantification of cardiac function, myocardial assessment, grading of the severity of valvular heart disease, and evaluation of extracardiac anatomy while avoiding the limitations of other non-invasive modalities. Here, we review the use cases, future perspectives, and limitations of CMR for patients undergoing structural aortic valve procedures.
近年来，主动脉瓣结构性手术的数量显著增加。术前规划以及无创检测随访至关重要。尽管心脏磁共振成像（CMR）是评估左心室质量、容积和功能的金标准，但在接受结构性干预的患者中并非常规进行。CMR可为术前和术后评估提供有用信息，包括心功能量化、心肌评估、心脏瓣膜病严重程度分级以及心外解剖结构评估，同时避免其他无创检查方式的局限性。在此，我们回顾CMR在接受主动脉瓣结构性手术患者中的应用案例、未来前景及局限性。
