Measurement of aortic valve anatomic regurgitant area using transesophageal echocardiography: Implications for the quantitation of aortic regurgitation

Journal of the American Society of Echocardiography

Volumn 15, Issue 10 II, 2002, Pages 1170-1174

  Özkan, Mehmet ^c   Özdemir, Nihal ^c   Kaymaz, Cihangir ^c   Kirma, Cevat ^c   Deligönül, Ubeydullah ^a,b  

^a UNIVERSITY OF TEXAS HEALTH CENTER   (United States)

^b St Louis Heart and Vascular   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AORTA VALVE REGURGITATION; AORTOGRAPHY; ARTICLE; DIAGNOSTIC ACCURACY; DISEASE SEVERITY; FEASIBILITY STUDY; FEMALE; HEART VENTRICLE ENDDIASTOLIC PRESSURE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; QUANTITATIVE ANALYSIS; REPRODUCIBILITY; SENSITIVITY AND SPECIFICITY; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; ADOLESCENT; AORTA VALVE; ECHOGRAPHY; EVALUATION; HOSPITALIZATION; MIDDLE AGED; OBSERVER VARIATION; PATHOLOGY; PREDICTION AND FORECASTING; RADIOGRAPHY;

ADOLESCENT; ADULT; AGED; AORTIC VALVE; AORTIC VALVE INSUFFICIENCY; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HUMANS; MALE; MIDDLE AGED; OBSERVER VARIATION; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; SEVERITY OF ILLNESS INDEX;

EID: 0036779928     PISSN: 08947317     EISSN: None     Source Type: Journal    
DOI: 10.1067/mje.2002.122354     Document Type: Article

References (29)

1. Weyman A, Griffin B. Left ventricular outflow tract: the aortic valve, aorta, and subvalvular outflow tract. In: Weyman A, editor. Principles and practice of echocardiography. 2nd ed. Philadelphia: Lea & Febiger; 1994. p. 531-41.
2. Perry G J, Helmcke F, Nanda NC, Byard C, Soto B. Evaluation of aortic insufficiency by Doppler color flow mapping. J Am Coll Cardiol 1987;9:952-9.
3. Baumgarmer H, Kratzer H, Helmreich G. Quantitation of aortic regurgitation by color-coded cross sectional Doppler echocardiography. Eur Heart J 1988;9:380-7.
4. Graybum PA, Handshoe R, Smith MD, Harrison MR, DeMaria AN. Quantitative assessment of the hemodynamic consequences of aortic regurgitation by means of continuous wave Doppler recordings. J Am Coll Cardiol 1987;10:135-42.
5. Teague SM, Heinsimer JA, Anderson JC, Sublett K, Olson EG, Voyles WF, et al. Quantification of aortic regurgitation utilizing continuous-wave Doppler ultrasound. J Am Coll Cardiol 1986;8:592-9.
6. Smith MD, Grayburn PA, Spain MG, DeMaria AN. Observer variability in the quantitation of Doppler color flow jet areas for mitral and aortic regurgitation. J Am Coll Cardiol 1988;11:579-84.
7. Smith MD. Evaluation of valvular regurgitation by Doppler echocardiography: cardiology clinics. Valvular Heart Disease 1991;9:193-228.
8. Reimold SC, Thomas JD, Lee RT. Relation between Doppler color flow variables and invasively determined jet variables in patiants with aortic regurgitation. J Am Coll Cardiol 1992;20:1143-8.
9. Losordo DW, Pastore JO, Coletta D, Kenny D, Isner JM. Limitations of color flow Doppler imaging in the quantification of valvular regurgitation:velocity of regurgitant jet, rather than volume, determines size of color Doppler image. Am Heart J 1993;126:168-76.
10. Reimold SC, Ganz P, Bittl JA, Thomas JD, Thoreau D, Plappert T J, Lee RT. Effective regurgitant orifice area: description of a method based on the conservation of mass. J Am Coll Cardiol 1991;18:761-8.
11. Enriquez-Sarano M, Seward JB, Bailey KR, Tajik AJ. Effective regurgitant orifice area:a noninvasive Doppler development of an old hemodynamic concept. J Am Coll Cardiol 1994;23:443-51.
12. Yeung AC, Plappert T. Calculation of aortic regurgitation orifice area by Doppler echocardiography: an application of continuity equation. Br Heart J 1992;68:236-40.
13. Reimold SC, Maier SE, Fleischmann KE, Khatri M, Piwnica-Worms D, Kikinis R, Lee RT. Dynamic nature of the aortic regurgitant orifice area during diastole in patients with chronic aortic regurgitation. Circulation 1994;89:2085-92.
14. Tribouilloy C, Enriquez-Sarano M, Fett SL, Bailey KR, Seward JB, Tajik AJ. Application of proximal flow convergence method to calculate effective regurgitant orifice area in aortic regurgitation. J Am Coll Cardiol 1998;32:1032-9.
15. Stoddard FM, Roberts T, Longaher R, Prince CR. Doppler transesophageal echocardiogarphic determination of aortic valve area in adults with aortic stenosis. Am Heart J 1996;132.
16. Morelli S, DeCastro S, Cartoni D, Perrone C, Beni S, Bernardo ML, et al. Planar determination of the aortic valve area with transesophageal echocardiography with multiplaner probe in patients with aortic stenosis and insufficiency. G Ital Cardiol 1995;25:851-7.
17. Chandrasekaran K, Foley R, Weintroub A, Wohl R, Mintz G, Schwartz S, et al. Evidence that transesephageal echocardiography can reliably and directly measure patients with aortic stenosis. J Am Coll Cardiol 1991;17:20A.
18. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986;1:307-10.
19. Shandas R, Kwon J, DeGroff CG, Valdes-Cmz L. Color Doppler imaging of the proximal jet is a good reflector of vena contracta area of regurgitant jets: in vitro studies using laser induced fluorescence imaging. J Am Coll Cardiol 1997;29(suppl):341A.
20. Shandas R, Trujillo N, Gill EA, Kwon J, DeGroff CG, Valdes-Cruz L. Is the vena contracta area for stenotic and regurgitant orifices dependent on hemodynamic variables? An in vitro study using laser induced fluorescence imaging. J Am Coll Cardiol 1997;29(suppl):328A.
21. Shiota T, Jones M, Yamada I, Heinrich RS, Ishii M, Sinclair B, et al. Effective regurritant orifice area by the color Doppler flow convergence method for evaluating the severity of chronic aortic regurgitation: an animal study. Circulation 1996;93:594-602.
22. Gill EA, Trujillo NP, Shandas R, Degroff CG, Kwon J, Valdes-Cruz L. Comparison of effective orifice areas derived using the Doppler continuity equation to directly visualised vena contracta areas: in vitro studies using laser induced fluorescence imaging. J Am Coll Cardiol 1997;29(suppl):65A.
23. Caguioa ES, Reimold SC, Veles S, Lee RT. Influence of aortic pressure on effective regurgitant orifice area in aortic regurgitation. Circulation 1992;85:1565-71.
24. Reimold SC, Byme JG, Caugyoa ES, Lee CC, Laurence RG, Peigh PS, et al. Load dependence of the effective regurgitant orifice area in a sheep model of aortic regurgitation. J Am Coll Cardiol 1991;18:1085-90.
25. Griffin BP, Flachskampf FA, Siu S, Weyman AE, Thomas JD. The effects of regurgitant orifice size, chamber compliance, and systemic vascular resistance on aortic regurgitant velocity slope and pressure half-time. Am Heart J 1991;122:1049-56.
26. Griffin BP, Flaschkampf FA, Reimold SC, Lee RT, Thomas JD. Relationship of aortic regurgitant velocity slope and pressure half-time to severity of aortic regurgitation under changing haemodynamic conditions. Eur Heart J 1994;15:681-5.
27. Slordahl SA, Piene H. Haemodynamic effects of arterial compliance, total peripheral resistance, and glyceryl trinitrate on regurgitant volume in aortic regurgitation. Cardiovasc Res 1991;25:869-74.
28. Graybum PA, Eichhom EJ, Eberhart RC, Bedotto JB, Brickner ME, Taylor AL. Aortic valve morphology influences regurgitant volume in aortic regurgitation: in vitro evaluation. Cardiovasc Res 1991;25:73-9.
29. Taylor AL, Eichhom EJ, Brickner ME, Eberhart RC, Grayburn PA. Aortic valve morphology: an important in vitro determinant of proximal regurgitant jet width by Doppler color flow mapping. J Am Coll Cardiol 1990;16:405-12.