Evaluation of valvular disease by cardiac computed tomography assessment

Buttan, Anshu; Yang, Eric H.; Budoff, Matthew J.; Vorobiof, Gabriel

doi:10.1016/j.jcct.2012.10.007

Cited by 12 publications

(6 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although CT is less sensitive than TEE, it can be helpful in diagnosing vegetations correctly in patients with degenerated or mechanical valves. It also helps to differentiate vegetations from primary heart tumors or thrombi [25]. The possibilities to visualize valvular changes in the right heart are limited because of inhomogeneous enhancement of the right ventricle.…”

Section: Discussionmentioning

confidence: 99%

The usefulness of cardiac CT in the diagnosis of perivalvular complications in patients with infective endocarditis

et al. 2019

View full text Add to dashboard Cite

Objectives The aim of the study was to compare the usefulness of cardiac CT to transthoracic (TTE) and transesophageal (TEE) echocardiography in the diagnosis of infective endocarditis (IE) and perivalvular complications using surgical inspection as the gold standard. Material and methods Fifty-three consecutive patients (42 men, mean age 58.3 ± 12.5) with IE requiring surgical procedures were enrolled in the study. All patients underwent preoperative TTE, TEE, and CT. The presence of vegetations, perivalvular abscess/pseudoaneurysm, leaflet perforation, inflammatory infiltration, and prosthesis dehiscence was assessed. Results We analyzed 71 affected valves (58 native, 13 prosthetic). Intraoperative assessment revealed 11 abscesses/pseudoaneurysms. Sensitivity and specificity of echocardiography (TTE + TEE) and CT were 63%, 90% and 81%, 90%, respectively. The combination of CT and echocardiography allowed diagnosing all abscesses/pseudoaneurysms. Inflammatory infiltration was found intraoperatively in 15 patients. Sensitivity and specificity of TEE and CT were 53%, 94% and 46%, 100%, respectively. Intraoperative assessment revealed leaflet perforation in 16 patients. Sensitivity and specificity of TEE and CT were 75%, 79% and 43%, 89%. The sensitivity of the combination of TTE + TEE + CT was 81%. Perivalvular leakage was found in eight patients with a prosthetic valve. Sensitivity and specificity of echocardiography and CT were 100%, 100% and 88%, 100%, respectively. TEE showed higher sensitivity (97%) than CT (89%) in the diagnosis of vegetations. Conclusions The combination of TTE, TEE, and CT increased the sensitivity for the detection of valvular and perivalvular complications of IE. Key Points • CT is a useful modality in the diagnosis of IE and its local complications in addition to echocardiography. • For the detection of abscesses and pseudoaneurysms, CT is superior to echocardiography. Combining these two modalities can increase the sensitivity of diagnosing abscess/pseudoaneurysm up to 100%. • Adding CT to TEE increases the sensitivity for detection of inflammatory infiltrate. CT is not superior to echocardiography in diagnosing vegetations, valvular leaflet perforations, and perivalvular leaks, but it can be a useful tool when echocardiography is indeterminate.

show abstract

Section: Discussionmentioning

confidence: 99%

The usefulness of cardiac CT in the diagnosis of perivalvular complications in patients with infective endocarditis

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In humans, MDCT has been deemed useful to evaluate valvular function based on planimetry and morphology especially when initial echocardiography yields suboptimal images. 84,85 In dogs, one publication describes the position of the pulmonic valve but without functional or morphological evaluation. 11 Evaluation of the aorta or its branches has not been specifically targeted using MDCTA in dogs but several case reports of vascular ring anomalies exist.…”

Section: Clinical Considerations In Thoracic Mdcta Protocols In Compamentioning

confidence: 99%

Section: Clinical Considerations In Thoracic Mdcta Protocols In Compamentioning

confidence: 99%

Invited Review—computed Tomographic Angiography (Cta) of the Thoracic Cardiovascular System in Companion Animals

Drees

François

Saunders

2014

Vet Radiology Ultrasound

View full text Add to dashboard Cite

Computed tomographic angiography (CTA) of the thoracic cardiovascular system is offering new diagnostic opportunities in companion animal patients with the increasing availability of multidetector-row computed tomographic (MDCT) units in veterinary facilities. Optimal investigation of the systemic, pulmonary, and coronary circulation provides unique challenges due to the constant movement of the heart, the small size of several of the structures of interest, and the dependence of angiographic quality on various contrast bolus design and patient factors. Technical and practical aspects of thoracic cardiovascular CTA are reviewed in light of the currently available veterinary literature and future opportunities given utilizing MDCT in companion animal patients with suspected thoracic cardiovascular disease.

show abstract

“…Budoff et al 55 e Assessment of Coronary Artery Disease by Cardiac Computed Tomography Leipsic et al 56 e SCCT guidelines for the interpretation and reporting of coronary CT angiography: a report of the Society of Cardiovascular Computed Tomography Guidelines Committee National Institute for Health and Care Excellence (NICE) guidelines 4 : Chest pain of recent onset: assessment and diagnosis Knuuti et al 3 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes Structural Heart Disease Blanke et al 25 e Computed tomography imaging in the context of transcatheter aortic valve implantation (TAVI)/TAVR: An expert consensus document of the SCCT Leipsic et al 57 e ACR Appropriateness Criteria® Imaging for Transcatheter Aortic Valve Replacement Blanke et al 32 e Mitral Annular Evaluation with CT in the Context of Transcatheter Mitral Valve Replacement Buttan et al 58 e Evaluation of Valvular Disease by Cardiac Computed Tomography Assessment Rizvi et al 59 e Analysis of Ventricular Function by CT Ismail et al 28 e CT imaging for left atrial appendage closure: a review and pictorial essay Carr et al 29 e CT of Left Ventricular Assist Devices Korsholm et al 30 e Expert Recommendations on Cardiac Computed Tomography for Planning Transcatheter Left Atrial Appendage Occlusion Leipsic et al 27 61 e Myocardial Assessment with Cardiac CT: Ischemic Heart Disease and Beyond Schuijf et al 37 e Fractional flow reserve and myocardial perfusion by computed tomography: a guide to clinical application. Singh et al 62 The role of computed tomography myocardial perfusion imaging in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

2020 SCCT Guideline for Training Cardiology and Radiology Trainees as Independent Practitioners (Level II) and Advanced Practitioners (Level III) in Cardiovascular Computed Tomography: A Statement from the Society of Cardiovascular Computed Tomography

Choi

Thomas

Lee

et al. 2021

Journal of Cardiovascular Computed Tomography

View full text Add to dashboard Cite

Cardiovascular computed tomography (CCT) is a well-validated non-invasive imaging tool with an ever-expanding array of applications beyond the assessment of coronary artery disease. These include the evaluation of structural heart diseases, congenital heart diseases, peri-procedural electrophysiology applications, and the functional evaluation of ischemia(1). This breadth requires a robust and diverse training curriculum to ensure graduates of CCT training programs meet minimum competency standards for independent CCT interpretation. This statement from the Society of Cardiovascular Computed Tomography aims to supplement existing societal training guidelines by providing a curriculum and competency framework to inform the development of a comprehensive, integrated training experience for cardiology and radiology trainees in CCT.

show abstract

Evaluation of valvular disease by cardiac computed tomography assessment

Cited by 12 publications

References 48 publications

The usefulness of cardiac CT in the diagnosis of perivalvular complications in patients with infective endocarditis

The usefulness of cardiac CT in the diagnosis of perivalvular complications in patients with infective endocarditis

Invited Review—computed Tomographic Angiography (Cta) of the Thoracic Cardiovascular System in Companion Animals

2020 SCCT Guideline for Training Cardiology and Radiology Trainees as Independent Practitioners (Level II) and Advanced Practitioners (Level III) in Cardiovascular Computed Tomography: A Statement from the Society of Cardiovascular Computed Tomography

Contact Info

Product

Resources

About