CBS 2019
CBSMD教育中心
中 文

经导管主动脉瓣置换

Abstract

Recommended Article

Determinants and Impact of Heart Failure Readmission Following Transcatheter Aortic Valve Replacement Decline in Left Ventricular Ejection Fraction During Follow-Up in Patients With Severe Aortic Stenosis 5-Year Outcomes Comparing Surgical Versus Transcatheter Aortic Valve Replacement in Patients With Chronic Kidney Disease Leaflet immobility and thrombosis in transcatheter aortic valve replacement Ambulatory Electrocardiogram Monitoring in Patients Undergoing Transcatheter Aortic Valve Replacement: JACC State-of-the-Art Review Infective Endocarditis After Transcatheter Aortic Valve Replacement Randomized Evaluation of TriGuard 3 Cerebral Embolic Protection After Transcatheter Aortic Valve Replacement: REFLECT II Coronary Protection to Prevent Coronary Obstruction During TAVR: A Multicenter International Registry

Review ArticleVolume 76, Issue 2, July 2020

JOURNAL:JACC Article Link

Discrepancies in Measurement of the Thoracic Aorta: JACC Review Topic of the Week

JA Elefteriades, SK Mukherjee, H Mojibian et al. Keywords: aortic root; ascending aorta ;CT; echo cardiography; imaging discrepancies; thoracic aortic aneurysm

ABSTRACT

Clinicians often encounter discrepant measurements of the ascending aorta that impede, complicate, and impair appropriate clinical assessment—including key issues of presence or absence of aortic growth, rate of growth, and need for surgical intervention. These discrepancies may arise within a single modality (computed tomography scan, magnetic resonance imaging, or echocardiography) or between modalities. The authors explore the origins and significance of these discrepancies, revealing that some “truth” usually underlies all the discrepant measurements, which individually look at the ascending aorta with different perspectives and dimensional definitions. The authors conclude with a practical “question and answer” section that addresses common specific issues in interpretation and management of patients in the real-world setting.