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