Does 3D TEE improve the delineation and guidance of mitral valve repair compared to 2D TEE in a patient with a sinus of Valsalva aneurysm?
3D TEE provides enhanced visualization of the mitral valve apparatus compared to 2D TEE, effectively guiding complex surgical interventions like the Alfieri repair.
Abstract Mitral valve repair is a common and preferred technique over mitral valve replacement whenever it is feasible. Transesophageal echocardiography (TEE) not only reliably identify repairable mitral valve but also guide appropriate intervention. In addition to two-dimensional (2D) TEE, the three-dimensional (3D) technique clearly delineates size and shape of mitral valve apparatus, and determine the repairability and success of repair technique. We illustrate the 2D and 3D TEE techniques that guided the surgical intervention for Alfieri repair.
Das et al. (Sat,) studied this question.