echocardiographie 3d valve mitrale - cardiologie francophone...acar et al. am j cardiol...

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Echocardiographie 3D & Valve Mitrale Philippe Acar Hôpital des Enfants Toulouse Journée d’Echocardiographie Libanaise 26 Novembre 2005

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Page 1: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Echocardiographie 3D &

Valve Mitrale

Philippe AcarHôpital des Enfants

Toulouse

Journée d’Echocardiographie Libanaise26 Novembre 2005

Page 2: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Echocardiographie 3D

TMTM 2D2D 3D3D

Page 3: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

AcquisitionAcquisition ReconstructionReconstruction QuantificationQuantification

Digital� �� ��� �

��� Digital

Digital

Page 4: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Vues 3D

Quantification

Page 5: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 6: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

40±7%(28-55%)

35±5%(27-48%)

25±6%(12-36%)

superior

inferiormural

Acar et al. Am J Cardiol 1999;83:745-9

Fente Mitrale

Page 7: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 8: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 9: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Chauvel et al. J Heart Valve Dis 2000

ProlapsusMitral

Page 10: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 11: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 12: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

y = 0.77x + 3.6y = 0.77x + 3.6p< 0.0001p< 0.0001r= 0.92r= 0.92n= 22n= 22

00

55

1010

1515

2020

2525

3030

3535

00 55 1010 1515 2020 2525 3030 3535

mlml

ml/bml/b

3DE3DEy = 0.1x + 5y = 0.1x + 5p= NS p= NS r= 0.41r= 0.41n= 22n= 22

00

22

66

88

1010

1212

1414

00 55 1010 1515 2020 2525 3030 3535

cmcm22

ml/bml/b

44

2DE2DE

De Simone R. 2000;86:1343-8

Fuite Mitrale

Page 13: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Khanna 2005 Echocardiography;21:737-43

PISA

Page 14: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Zamorano et al. Eur Heart J 2004;25:2086-91

SténoseMitrale

Page 15: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 16: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 17: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 18: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 19: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 20: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 21: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 22: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Taktak et al. Arch Mal Coeur 2005

Malformation D’Ebstein

Page 23: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 24: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 25: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 26: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 27: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 28: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Echocardiographie 3Dfoetale

Acar et al. Prenatal Diagn 2005

Page 29: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x
Page 30: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Echo 2D en 1980

Page 31: Echocardiographie 3D Valve Mitrale - Cardiologie francophone...Acar et al. Am J Cardiol 1999;83:745-9 Fente Mitrale Chauvel et al. J Heart Valve Dis 2000 Prolapsus Mitral y = 0.77x

Echo 3D en 2010