三尖瓣和肺动脉瓣疾病

D. Muraru, E. Sade
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引用次数: 0

摘要

在大量新出现的经皮经导管介入治疗三尖瓣和肺动脉瓣疾病的背景下,右心瓣膜获得了极大的兴趣。多模态成像对于患者诊断、管理和预后,以及规划介入和外科瓣膜手术都是至关重要的。超声心动图是对右侧瓣膜性心脏病患者进行初步诊断和纵向随访的主要影像学手段。心血管磁共振已成为提供三尖瓣和肺动脉瓣解剖诊断信息的补充或替代方式,特别是肺动脉及其对右心室的影响。本章重点介绍了目前各种成像方式对最先进的右侧瓣膜性心脏病的评估,重点是主要的临床适应症,以及每种方式的优势和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tricuspid and pulmonary valve disease
Right heart valves have gained significant interest in the context of a plethora of new emerging percutaneous transcatheter interventions for treating tricuspid and pulmonary valve diseases. Multimodality imaging is pivotal for patient diagnosis, management, and prognosis, as well as for planning interventional and surgical valve procedures. Echocardiography is the primary imaging modality for initial diagnosis and longitudinal follow-up of patients with right-sided valvular heart disease. Cardiovascular magnetic resonance has emerged as a complementary or alternative modality for providing diagnostic information on the tricuspid and pulmonary valve anatomy, and particularly on the pulmonary artery and the consequences on the right ventricle. This chapter highlights the current use of various imaging modalities for the state-of-the-art assessment of right-sided valvular heart diseases, with emphasis on the main clinical indications, as well as on the strengths and limitations of each modality.
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