Skip Navigation

European Heart Journal 1999 20(8):619-627; doi:10.1053/euhj.1998.1342
Copyright © 1999 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (9)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by De Simone, R.
Right arrow Articles by Hagl, S.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by De Simone, R.
Right arrow Articles by Hagl, S.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Three-dimensional Doppler. Techniques and clinical applications

R. De Simonea,f1, G. Glombitzab, C.F. Vahla, H.P. Meinzerb and S. Hagla

a Abteilung für Herzchirurgie, University of Heidelberg, Heidelberg, Germany
b Department of Medical and Biological Informatics, Deutsches Krebsforschungszentrum, Heidelberg, Germany

revised September 24, 1998; accepted September 30, 1998

Abstract

Aims

Colour Doppler is the most widely used technique for assessing valve disease, but eccentric regurgitant jets cannot be visualized and measured by conventional 2D techniques. We have developed a new procedure for three-dimensional (3D) reconstruction of colour Doppler signals.

Methods and Results

Fifty patients with mitral regurgitation underwent transoesophageal echocardiography and 3D acquisition. The severity of mitral regurgitation was assessed by angiography and the regurgitant volumes were measured by pulsed Doppler. The jet areas were calculated by planimetry from conventional colour Doppler; the jet volumes were obtained by 3D Doppler. A higher degree of mitral regurgitation was found in the patients with eccentric jets. While jet areas showed poor correlation with regurgitant volumes (r=0·61), jet volumes correlated significantly with regurgitant volumes (r=0·93;P<0·001). While jet areas failed to identify patients with different grades of regurgitation, jet volumes could so discriminate.

Conclusions

3D Doppler revealed new patterns of regurgitant flow and allowed a more accurate semiquantitative assessment of complex asymmetrical regurgitant jets. Three-dimensional colour Doppler has a great potential for becoming a reference method for the assessment of patients with heart valve disease.

Key Words: Three-dimensional echocardiography, colour Doppler, Heart valve disease, mitral regurgitation

f1 Correspondence:Raffaele De Simone, MD, University of Heidelberg, Abteilung für Herzchirurgie, Im Neuenheimer Feld, 120, D-69120 Heidelberg, Germany.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Eur J EchocardiogrHome page
V. Gabriel, O. Kamp, and C. A. Visser
Three-dimensional echocardiography in mitral valve disease
Eur J Echocardiogr, December 1, 2005; 6(6): 443 - 454.
[Abstract] [Full Text] [PDF]

Home page
 ICVTSHome page
S. Mottl-Link, I. Wolf, M. Hastenteufel, S. Witte, H.-P. Meinzer, S. Hagl, and R. De Simone
Non-invasive assessment of differences between bileaflet and tilting-disc aortic valve prostheses by 3D-Doppler profiles
Interactive CardioVascular and Thoracic Surgery, October 1, 2005; 4(5): 383 - 387.
[Abstract] [Full Text] [PDF]

Home page
 Eur Heart JHome page
L. Hatle and G. R. Sutherland
Regional myocardial function--a new approach.
Eur. Heart J., August 1, 2000; 21(16): 1337 - 1357.
[PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.