1. Unraveling Bicuspid Aortic Valve Enigmas by Multimodality Imaging : Clinical Implications
- Author
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Evangelista Masip, Arturo, Galian-Gay, Laura, Guala, Andrea, Lopez-Sainz, Angela, Teixido-Turà, Gisela, Ruiz Muñoz, Aroa, Valente, Filipa, Gutierrez, Laura, Fernandez-Galera, Ruben, Casas, Guillem, Panaro, Alejandro, Marigliano, Alba, Huguet, Marina, González-Alujas, Teresa, Rodríguez-Palomares, José F., Universitat Autònoma de Barcelona, Institut Català de la Salut, [Evangelista Masip A] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBERCV, Universitat Autònoma de Barcelona, Bellaterra, Spain. Vall d’Hebron Institut de Recerca (VHIR), Barcelona, Spain. Teknon Heart Institute-Quiron Salud, Barcelona, Spain. [Galian-Gay L, Guala A, Lopez-Sainz A, Teixido-Turà G, Ruiz Muñoz A, Valente F, Gutierrez L, Fernandez-Galera R, Casas G, González-Alujas T, Rodriguez-Palomares J] Servei de Cardiologia, Vall d’Hebron Hospital Universitari, Barcelona, Spain. CIBERCV, Universitat Autònoma de Barcelona, Bellaterra, Spain, and Vall d'Hebron Barcelona Hospital Campus
- Subjects
bicuspid aortic valve ,Aortic aneurysm ,Bicuspid aortic valve ,Cor - Vàlvules - Malalties - Imatgeria ,Otros calificadores::Otros calificadores::/diagnóstico por imagen [Otros calificadores] ,computed tomography ,General Medicine ,Review ,enfermedades cardiovasculares::enfermedades cardíacas::enfermedades de las válvulas cardíacas [ENFERMEDADES] ,Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Multimodal Imaging [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT] ,Magnetic resonance imaging ,Echocardiography ,Cardiovascular Diseases::Heart Diseases::Heart Valve Diseases [DISEASES] ,cardiovascular system ,echocardiography ,magnetic resonance imaging ,Medicine ,diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::imagen multimodal [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS] ,aortic aneurysm ,Computed tomography ,Imatgeria per al diagnòstic ,Other subheadings::Other subheadings::/diagnostic imaging [Other subheadings] - Abstract
Aortic aneurysm; Bicuspid aortic valve; Computed tomography Aneurisma aòrtic; Vàlvula aòrtica bicúspide; Tomografia computada Aneurisma aórtico; Válvula aórtica bicúspide; Tomografía computada Multimodality imaging is the basis of the diagnosis, follow-up, and surgical management of bicuspid aortic valve (BAV) patients. Transthoracic echocardiography (TTE) is used in our clinical routine practice as a first line imaging for BAV diagnosis, valvular phenotyping and function, measurement of thoracic aorta, exclusion of other aortic malformations, and for the assessment of complications such are infective endocarditis and aortic. Nevertheless, TTE is less useful if we want to assess accurately other aortic segments such as mid-distal ascending aorta, where computed tomography (CT) and magnetic resonance (CMR) could improve the precision of aorta size measurement by multiplanar reconstructions. A major advantage of CT is its superior spatial resolution, which affords a better definition of valve morphology and calcification, accuracy, and reproducibility of ascending aorta size, and allows for coronary artery assessment. Moreover, CMR offers the opportunity of being able to evaluate aortic functional properties and blood flow patterns. In this setting, new developed sequences such as 4D-flow may provide new parameters to predict events during follow up. The integration of all multimodality information facilitates a comprehensive evaluation of morphologic and dynamic features, stratification of the risk, and therapy guidance of this cohort of patients.
- Published
- 2022