Aortic valve type and calcification as assessed by transthoracic and transoesophageal echocardiography

• DOI: 10.1111/cpf.12166
• Publication Date: 2014-05-30T01:58:57Z
• Authors: Mohamed Yousry; Anette Rickenlund; Johan Petrini; Jonas Jenner; Jan Liska; Per Eriksson; Anders Franco‐Cer...; Maria J. Eriksson; Kenneth Caidahl
• Keywords: Male; Observer Variation; Heart Valve Diseases; Calcinosis; Reproducibility of Results; Aortic Valve Stenosis; Middle Aged; Sensitivity and Specificity; 3. Good health; Diagnosis, Differential; 03 medical and health sciences; 0302 clinical medicine; Bicuspid Aortic Valve Disease; Aortic Valve; Humans; Female; Echocardiography, Transesophageal; Aged

Introduction Aortic valve calcification (AVC) may predict poor outcome. Bicuspid aortic (BAV) leads to several haemodynamic changes accelerating the progress of (AV) disease. Aims To compare diagnostic accuracy transoesophageal echocardiography (TEE) and transthoracic (TTE) in assessment phenotype degree AVC, with intra-operative evaluation as a reference. Methods We examined 169 patients (median age 65 years, 51 women) without significant coronary artery disease undergoing AV and/or root surgery. TTE was performed within week prior surgery TEE at time Results Compared surgical AVC assessment, visual using 5-grade scoring system real-time images showed higher correlation (TTE r = 0·83 0·82) than 0·64 0·63) or grey scale mean (GSMn) 0·63 0·52) end-diastolic still frames. high intraclass coefficients 0·94 0·93). With regard BAV, superior interobserver agreement, sensitivity specificity (0·86, 92% 94% versus 0·57, 77% 82%, respectively). Conclusion Semi-quantitative cine loops from both correlated well AVC. Applying predefined for assures correlation. should be considered when diagnosis BAV is clinically important.