Unraveling Bicuspid Aortic Valve Enigmas by Multimodality Imaging : Clinical Implications
Evangelista Masip, Arturo (Hospital Universitari Vall d'Hebron)
Galian-Gay, Laura (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Guala, Andrea (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Lopez-Sainz, Angela (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Teixido-Tura, Gisela (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Ruiz Muñoz, Aroa (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Valente, Filipa (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Gutiérrez García-Moreno, Laura (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Fernandez-Galera, Ruben (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Casas, Guillem (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Panaro, Alejandro (Teknon Heart Institute-Quiron Salud)
Marigliano, Alba (Teknon Heart Institute-Quiron Salud)
Huguet, Marina (Teknon Heart Institute-Quiron Salud)
González-Alujas, Teresa (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Rodriguez-Palomares, Jose F (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Bicuspid aortic valve ; Echocardiography ; Computed tomography ; Magnetic resonance imaging ; Aortic aneurysm
Published in:	Journal of clinical medicine, Vol. 11 (january 2022) , ISSN 2077-0383

DOI: 10.3390/jcm11020456
PMID: 35054153

16 p, 3.1 MB

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