Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Sameer Shrivastava
Fortis Escorts Heart Institute, India
Posters & Accepted Abstracts: J Clin Exp Cardiolog
Indian subcontinent is where we still continue to see a large population suffering with valvular heart disease, mostly secondary to rheumatic heart disease and occasionally to congenital heart disease. Though, in lesser quantum infective endocarditis and collegen vascular disorder also seen occasionally. Conventional 2D echocardiography and transesophageal echocardiography has been the mainstay of investigation for their assessment to guide their therapy and response to therapy. But, it has its limitation, specially as the cardiac valves are three dimensional structures and so they need to be evaluated by three dimensional imaging. Transthoracic 3D echocardiography and real time transesophageal echocardiography have been of great help in the assessment of detailed anatomy of mitral valve. In mitral stenosis, mitral valve area measurement is direct and appears to be more accurate. In regards to mitral regurgitation, its quantification, its site of origin and its mechanism, specially in cases of mitral valve prolapse are very well elaborated and guide the therapeutic approach. Similarly, in aortic stenosis, the direct aortic valve area measuremt is made very easy with 3D imaging. Tricuspid valve assessment is relatively less evaluated owing to its tissue characterization, but wherever possible, imaging yields good results. As regards, prosthetic heart valves, their imaging has been a difficult task, specially paravalvular leak. With 3D imaging, we are able to localize the rent and quantify and guide the therapeutic procedure. We will be showing various cases of valvular heart disease.
Email: sameer_rashmi@hotmail.com