Specific Modeling and Quantification of the Aortic Valve. Response

doi:10.1016/j.rec.2014.03.004

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Vol. 67. Num. 6.

Pages 501 (June 2014)

Letter to the editor
Specific Modeling and Quantification of the Aortic Valve. Response

Modelo de cuantificación específico de la válvula aórtica. Respuesta

Ana García-Martín¿Covadonga Fernández-GolfínJosé Luis Zamorano-Gómez

Specific Modeling and Quantification of the Aortic Valve

Rev Esp Cardiol. 2014;67:500-110.1016/j.rec.2014.02.004

Gonenc Kocabay

https://doi.org/10.1016/j.rec.2014.03.004

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Year/month	Html	Pdf	Total
2025 May	4	0	4
2025 April	33	14	47
2025 March	45	10	55
2025 February	45	19	64
2025 January	53	12	65
2024 December	35	14	49
2024 November	29	24	53
2024 October	38	18	56
2024 September	49	10	59
2024 August	39	44	83
2024 July	49	12	61
2024 June	37	14	51
2024 May	31	16	47
2024 April	46	32	78
2024 March	46	20	66
2024 February	33	11	44
2024 January	29	21	50
2023 December	39	32	71
2023 November	18	10	28
2023 October	32	43	75
2023 September	23	13	36
2023 August	17	13	30
2023 July	17	25	42
2023 June	26	14	40
2023 May	27	26	53
2023 April	18	12	30
2023 March	11	15	26
2023 February	20	10	30
2023 January	29	26	55
2022 December	18	15	33
2022 November	33	14	47
2022 October	28	23	51
2022 September	21	26	47
2022 August	24	24	48
2022 July	18	17	35
2022 June	21	18	39
2022 May	24	26	50
2022 April	32	26	58
2022 March	22	28	50
2022 February	23	13	36
2022 January	21	14	35
2021 December	13	25	38
2021 November	23	25	48
2021 October	51	29	80
2021 September	37	24	61
2021 August	21	16	37
2021 July	16	17	33
2021 June	19	10	29
2021 May	14	12	26
2021 April	29	36	65
2021 March	65	20	85
2021 February	40	6	46
2021 January	34	8	42
2020 December	33	10	43
2020 November	10	8	18
2020 October	23	9	32
2020 September	31	8	39
2020 August	25	11	36
2020 July	18	6	24
2020 June	18	13	31
2020 May	22	13	35
2020 April	20	11	31
2020 March	19	11	30
2020 February	32	8	40
2020 January	46	11	57
2019 December	20	23	43
2019 November	23	8	31
2019 October	37	19	56
2019 September	37	11	48
2019 August	27	10	37
2019 July	26	19	45
2019 June	28	12	40
2019 May	26	9	35
2019 April	39	20	59
2019 March	45	16	61
2019 February	69	17	86
2019 January	60	11	71
2018 December	96	18	114
2018 November	74	16	90
2018 October	84	15	99
2018 September	41	17	58
2018 August	28	5	33
2018 July	78	14	92
2018 June	83	13	96
2018 May	74	12	86
2018 April	64	7	71
2018 March	71	6	77
2018 February	81	3	84
2018 January	75	5	80
2017 December	23	6	29
2017 November	38	4	42
2017 October	12	16	28
2017 September	23	11	34
2017 August	18	22	40
2017 July	20	5	25
2017 June	33	13	46
2017 May	29	14	43
2017 April	25	7	32
2017 March	41	7	48
2017 February	58	5	63
2017 January	65	3	68
2016 December	27	8	35
2016 November	26	4	30
2016 October	54	9	63
2016 September	143	13	156
2016 August	34	7	41
2016 July	54	14	68
2016 June	46	19	65
2016 May	30	11	41
2016 April	35	17	52
2016 March	60	10	70
2016 February	52	27	79
2016 January	62	14	76
2015 December	54	16	70
2015 November	35	21	56
2015 October	51	17	68
2015 September	49	16	65
2015 August	73	25	98
2015 July	60	16	76
2015 June	42	5	47
2015 May	52	8	60
2015 April	55	13	68
2015 March	41	9	50
2015 February	35	27	62
2015 January	39	10	49
2014 December	30	11	41
2014 November	22	15	37
2014 October	16	17	33
2014 September	25	10	35
2014 August	28	14	42
2014 July	33	15	48
2014 June	60	44	104
2014 May	44	12	56

To the Editor,

We appreciate the comments on our publication.1 Although the purpose of our article was simply to introduce this new imaging software, we agree with these authors that the software provides additional information to that provided by aortic annulus assessment.

As this author highlight, this information helps to improve our knowledge of cardiac structures and may contribute to more accurate preoperative assessment of patients undergoing transcatheter aortic valve replacement and to avoiding potential complications. With this objective, other novel automated multidetector computed tomography imaging software was applied in candidates for transcatheter aortic valve replacement; this novel software permitted reliable, reproducible and automated assessment of the aortic root dimensions and spatial relations with the surrounding structures.2 In addition to the static measurements, aortic annulus tracking throughout the cardiac cycle can be analyzed with the software in order to assess its function and changes in distinct pathological conditions.

Furthermore, this software can also be applied to the mitral valve and the aortic-mitral junction. With respect to the mitral valve, the annulus area and diameters, the intercommissural distance, and the length and height of the leaflets can be analyzed by this program and, as with the aortic valve, the mitral annulus can also be tracked throughout the cardiac cycle. Concerning mitro-aortic valvular physiology, the anatomic relationship between the 2 valves leads to synchronous and reciprocal behavior. In the last year, Tsang et al3 studied aortic-mitral coupling in patients with severe aortic stenosis undergoing transcatheter aortic valve replacement. Their findings showed the importance of considering the mitral-aortic complex as a single structure at the time of clinical assessment.4

More studies are needed to determine the impact of all this information in daily clinical practice, but there is no doubt that this software opens a new horizon for imaging-based knowledge of cardiac anatomy and physiology.

REFERENCES

[1]

A. García-Martín, C. Fernández-Golfín, J.L. Zamorano-Gómez.

Nuevo modelo de cuantificación aórtica en pacientes pre-TAVI.

Rev Esp Cardiol, (2014), 67 pp. 488

[2]

V. Delgado, A.C. Ng, J.D. Schuijf, F. Van der Kley, M. Shanks, L.F. Tops, et al.

Automated assessment of the aortic root dimensions with multidetector row computed tomography.

Ann Thorac Surg, (2011), 91 pp. 716-723

http://dx.doi.org/10.1016/j.athoracsur.2010.09.060 | Medline

[3]

W. Tsang, M. Meineri, R.T. Hahn, F. Veronesi, A.P. Shah, M. Osten, et al.

A three-dimensional echocardiographic study on aortic-mitral coupling in transcatheter aortic valve replacement.

Eur Heart J Cardiovasc Imaging, (2013), 14 pp. 950-956

http://dx.doi.org/10.1093/ehjci/jet058 | Medline

[4]

J. Zamorano, C. Fernández-Golfín.

Comprehensive 3D echocardiography assessment of mitro-aortic valvular physiology. Are we ready?.

Eur Heart J Cardiovasc Imaging, (2013), 14 pp. 1021-1022

http://dx.doi.org/10.1093/ehjci/jet085 | Medline

https://doi.org/10.1016/j.rec.2014.03.004

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Statistics

2014 Total PDF

5000 Total HTML

Year/month	Html	Pdf	Total
2025 May	4	0	4
2025 April	33	14	47
2025 March	45	10	55
2025 February	45	19	64
2025 January	53	12	65
2024 December	35	14	49
2024 November	29	24	53
2024 October	38	18	56
2024 September	49	10	59
2024 August	39	44	83
2024 July	49	12	61
2024 June	37	14	51
2024 May	31	16	47
2024 April	46	32	78
2024 March	46	20	66
2024 February	33	11	44
2024 January	29	21	50
2023 December	39	32	71
2023 November	18	10	28
2023 October	32	43	75
2023 September	23	13	36
2023 August	17	13	30
2023 July	17	25	42
2023 June	26	14	40
2023 May	27	26	53
2023 April	18	12	30
2023 March	11	15	26
2023 February	20	10	30
2023 January	29	26	55
2022 December	18	15	33
2022 November	33	14	47
2022 October	28	23	51
2022 September	21	26	47
2022 August	24	24	48
2022 July	18	17	35
2022 June	21	18	39
2022 May	24	26	50
2022 April	32	26	58
2022 March	22	28	50
2022 February	23	13	36
2022 January	21	14	35
2021 December	13	25	38
2021 November	23	25	48
2021 October	51	29	80
2021 September	37	24	61
2021 August	21	16	37
2021 July	16	17	33
2021 June	19	10	29
2021 May	14	12	26
2021 April	29	36	65
2021 March	65	20	85
2021 February	40	6	46
2021 January	34	8	42
2020 December	33	10	43
2020 November	10	8	18
2020 October	23	9	32
2020 September	31	8	39
2020 August	25	11	36
2020 July	18	6	24
2020 June	18	13	31
2020 May	22	13	35
2020 April	20	11	31
2020 March	19	11	30
2020 February	32	8	40
2020 January	46	11	57
2019 December	20	23	43
2019 November	23	8	31
2019 October	37	19	56
2019 September	37	11	48
2019 August	27	10	37
2019 July	26	19	45
2019 June	28	12	40
2019 May	26	9	35
2019 April	39	20	59
2019 March	45	16	61
2019 February	69	17	86
2019 January	60	11	71
2018 December	96	18	114
2018 November	74	16	90
2018 October	84	15	99
2018 September	41	17	58
2018 August	28	5	33
2018 July	78	14	92
2018 June	83	13	96
2018 May	74	12	86
2018 April	64	7	71
2018 March	71	6	77
2018 February	81	3	84
2018 January	75	5	80
2017 December	23	6	29
2017 November	38	4	42
2017 October	12	16	28
2017 September	23	11	34
2017 August	18	22	40
2017 July	20	5	25
2017 June	33	13	46
2017 May	29	14	43
2017 April	25	7	32
2017 March	41	7	48
2017 February	58	5	63
2017 January	65	3	68
2016 December	27	8	35
2016 November	26	4	30
2016 October	54	9	63
2016 September	143	13	156
2016 August	34	7	41
2016 July	54	14	68
2016 June	46	19	65
2016 May	30	11	41
2016 April	35	17	52
2016 March	60	10	70
2016 February	52	27	79
2016 January	62	14	76
2015 December	54	16	70
2015 November	35	21	56
2015 October	51	17	68
2015 September	49	16	65
2015 August	73	25	98
2015 July	60	16	76
2015 June	42	5	47
2015 May	52	8	60
2015 April	55	13	68
2015 March	41	9	50
2015 February	35	27	62
2015 January	39	10	49
2014 December	30	11	41
2014 November	22	15	37
2014 October	16	17	33
2014 September	25	10	35
2014 August	28	14	42
2014 July	33	15	48
2014 June	60	44	104
2014 May	44	12	56

Letter to the editor Specific Modeling and Quantification of the Aortic Valve. Response

Modelo de cuantificación específico de la válvula aórtica. Respuesta

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Letter to the editor
Specific Modeling and Quantification of the Aortic Valve. Response