Cardiothoracic & vascular anesthesia

Echocardiographic Assessment of the Mitral Annular Dimensions for Annuloplasty Ring Sizing: A Comparative Clinical Study of Two- and Three-Dimensional Ultrasound

J Cardiothorac Vasc AnesthPublished Prospective observational comparative study

Authors' conclusion

Software-based 3D echocardiographic assessment (4D MVA) of the mitral annulus geometry might provide superior accuracy for predicting appropriate annuloplasty ring size compared with conventional 2D measurements, supporting its role in individualized decision-making.

Study context

Population
Patients undergoing surgical mitral valve repair, tertiary academic medical center
Participants
99 patients
Exposure
4D MVA vs 2D
Outcome
Strongest correlation with annuloplasty ring size
Methodological detailsnon-interventional, single-centre
  • Non-interventional
  • Single-centre

Main finding

As reported in the abstract

4D MVA

0.706

r

2D

0.600

r

3D MPR

0.662

r

P = 0.059

Observational data: associations, not effects.

Further findings

OutcomeP value
Highest correlation coefficients, Corcym Memo 4D ring (subgroup)4D MVA vs 2DP < 0.001

All measurement parameters (post hoc)

Significant difference between 4D MVA and 2D
  • Post hoc

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Echocardiographic Assessment of the Mitral Annular Dimensions for Annuloplasty Ring Sizing: A Comparative Clinical Study of Two- and Three-Dimensional Ultrasound. J Cardiothorac Vasc Anesth. Published 7 June 2026. doi:10.1053/j.jvca.2026.06.008

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