Quantification of Aortic Valve Regurgitation by Phase-Contrast Magnetic Resonance in Patients with Bicuspid Aortic Valve: Where to Measure the Flow?
Journal of cardiovascular magnetic resonance(2013)
摘要
Results The correlation between the LVSV and the forward flow in the LVOT, the AV and the AAo was good in both BAV patients (r= 0.97/0.96/0.86; p < 0.01 for all) and controls (r= 0.96/0.93/0.87; p < 0.01 for all). However, in relation with the LVSV, the forward flow in the AAo was mildly underestimated in controls and much more in BAV patients [median (interquartile range): 9% (-1%/16%) vs. 17% (7%/27%); p = 0.05]. This was not the case in the LVOT [5% (0%/8%) vs. 5% (-3%/11%); p = 0.94] and the AV [0% (-5%/8%) vs. 1% (-4%/6%); p = 0.77], where the differences were mild and did not differ between groups (figure 1). By applying cut-off values of regurgitant fraction in the AAo, the severity of the AR was overestimated in 6 out of 16 BAV patients (38%) with AR, as compared with the flow quantification in the LVOT or the AV. In the AAo the relative mean SI was lower in the BAV patients compared to controls [1.34 +/- 0.15 vs. 1.58 +/- 0.26; p < 0.01], suggesting more intravoxel dephasing in BAV patients.
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关键词
Aortic Valve,Flow Measurement,Aortic Regurgitation,Bicuspid Aortic Valve,Ventricular Outflow Tract
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