Cardiothoracic & vascular anesthesia

Misidentification of the True Aortic Annulus With 2-dimensional Echocardiography: A Critical Appraisal Using 3-Dimensional Imaging

J Cardiothorac Vasc AnesthPublished Observational study

Authors' conclusion

The study highlighted the limitations of 2D echocardiography in accurately identifying the true AV annulus in complex 3D structures like the aortic root.

Study context

Population
National Board of Echocardiography (NBE)-certified perioperative echocardiographers across 12 academic institutions; images from 11 patients with normal aortic valve (AV) and aortic root anatomies undergoing CABG
Participants
45 qualified survey respondents
Outcome
Accuracy of identifying the true AV annulus using 2D echocardiography
Methodological detailssingle-centre, survey-based, 3D datasets used to generate 2D images, Two images per patient (true AV annulus and off-axis) generated from 3D TEE datasets
  • Single-centre
  • Survey-based
  • 3D datasets used to generate 2D images
  • Two images per patient (true AV annulus and off-axis) generated from 3D TEE datasets

Main finding

As reported in the abstract

Correct identification of true AV annulus

Responses correctly identifying the true AV annulus

36.8%

Participants unable to correctly identify any true AV annulus image

44.4%

Observational data: associations, not effects.

Original publication

Misidentification of the True Aortic Annulus With 2-dimensional Echocardiography: A Critical Appraisal Using 3-Dimensional Imaging. J Cardiothorac Vasc Anesth. Published 8 March 2024. doi:10.1053/j.jvca.2024.03.004

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