TY - JOUR
T1 - Multidetector Row Computed Tomography Assessment of the Native Aortic and Mitral Valve A Call for Routine Assessment of Left-Sided Heart Valves During Coronary Computed Tomography
AU - de Heer, Linda M.
AU - Habets, Jesse
AU - Chamuleau, Steven A. J.
AU - Mali, Willem P. Th M.
AU - van Herwerden, Lex A.
AU - Kluin, Jolanda
AU - Budde, Ricardo P. J.
PY - 2012
Y1 - 2012
N2 - Aortic valve stenosis and mitral valve regurgitation are the most common valvular heart diseases (VHD) in Western countries. In daily clinical practice, the diagnosis and evaluation of the severity of VHD is based on clinical findings and imaging. Transthoracic echocardiography is the preferred imaging technique for the initial evaluation of VHD. In patients with inconclusive transthoracic echocardiography, transoesophageal echocardiography can have additional diagnostic value. Cardiac multidetector row computed tomography (MDCT) has proven to have diagnostic value in the evaluation of coronary artery disease in symptomatic patients with a low-to-intermediate pretest probability. The images acquired for coronary assessment also contain diagnostic information on heart valves. The purpose of this review was to discuss the diagnostic value of MDCT for the evaluation of left-sided VHD. We provide an overview of the literature comparing echocardiography and MDCT for VHD assessment focusing on aortic valve and mitral valve disease, and we present clinical recommendations
AB - Aortic valve stenosis and mitral valve regurgitation are the most common valvular heart diseases (VHD) in Western countries. In daily clinical practice, the diagnosis and evaluation of the severity of VHD is based on clinical findings and imaging. Transthoracic echocardiography is the preferred imaging technique for the initial evaluation of VHD. In patients with inconclusive transthoracic echocardiography, transoesophageal echocardiography can have additional diagnostic value. Cardiac multidetector row computed tomography (MDCT) has proven to have diagnostic value in the evaluation of coronary artery disease in symptomatic patients with a low-to-intermediate pretest probability. The images acquired for coronary assessment also contain diagnostic information on heart valves. The purpose of this review was to discuss the diagnostic value of MDCT for the evaluation of left-sided VHD. We provide an overview of the literature comparing echocardiography and MDCT for VHD assessment focusing on aortic valve and mitral valve disease, and we present clinical recommendations
U2 - https://doi.org/10.1097/CRD.0b013e318250eaaa
DO - https://doi.org/10.1097/CRD.0b013e318250eaaa
M3 - Review article
C2 - 23045729
SN - 1061-5377
VL - 20
SP - 222
EP - 229
JO - Cardiology in review
JF - Cardiology in review
IS - 5
ER -