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Assessment of Mitral Paravalvular Leakage After Mitral Valve Replacement Using Cardiac Computed Tomography: Comparison With Surgical Findings.

DC FieldValueLanguage
dc.contributor.author김영진-
dc.contributor.author허진-
dc.contributor.author홍그루-
dc.contributor.author홍유진-
dc.contributor.author서영주-
dc.contributor.author심지영-
dc.contributor.author이혜정-
dc.contributor.author임동진-
dc.contributor.author장병철-
dc.contributor.author장수연-
dc.contributor.author최병욱-
dc.date.accessioned2017-02-27T07:45:49Z-
dc.date.available2017-02-27T07:45:49Z-
dc.date.issued2016-
dc.identifier.issn1941-9651-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/146985-
dc.description.abstractBACKGROUND: The diagnostic performance of cardiac computed tomography (CT) for detection of paravalvular leakage (PVL) after mitral valve replacement has not been investigated in a large population. We aimed to investigate the diagnostic accuracy of CT for diagnosis of mitral PVL using surgical findings as the standard reference and to compare the diagnostic performance of CT with those of transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE). METHODS AND RESULTS: A total of 204 patients with previous mitral valve replacement who underwent cardiac CT were retrospectively included. The presence of mitral PVL was analyzed on CT, TTE, and TEE. In 78 patients who underwent redo-surgery, diagnostic performance for the detection of PVL for CT, TTE, and TEE were compared with surgical findings as the standard reference. The location of mitral PVL on CT and TEE was compared with surgical findings. Mitral PVL was present in 18.1% (37/204) on CT, in 16.2% (32/198) on TTE, and in 42.6% (29/68) on TEE. On the surgical field, PVL was identified in 41.0% (32/78). The sensitivity, specificity, positive predictive value, negative predictive value, and diagnostic accuracy for detection of PVL were 96.9%, 97.8%, 96.9%, 97.8%, and 97.4% for CT; 81.3%, 95.6%, 92.9%, 87.8%, and 89.6% for TTE; and 96.2%, 95.8%, 96.2%, 95.8%, and 96.0% for TEE. CT and TEE identified the correct location of PVL in 75.9% (22/29) and 85.6% (19/23). CONCLUSIONS: Cardiac CT may have better diagnostic accuracy compared with TTE for the detection of mitral PVL and may be comparable to TEE for the detection and localization of PVL.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfCIRCULATION-CARDIOVASCULAR IMAGING-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdult-
dc.subject.MESHEchocardiography, Doppler, Color*-
dc.subject.MESHEchocardiography, Transesophageal*-
dc.subject.MESHFemale-
dc.subject.MESHHeart Valve Prosthesis*-
dc.subject.MESHHeart Valve Prosthesis Implantation/adverse effects*-
dc.subject.MESHHeart Valve Prosthesis Implantation/instrumentation*-
dc.subject.MESHHumans-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHMitral Valve/diagnostic imaging-
dc.subject.MESHMitral Valve/physiopathology-
dc.subject.MESHMitral Valve/surgery*-
dc.subject.MESHMitral Valve Insufficiency/diagnostic imaging*-
dc.subject.MESHMitral Valve Insufficiency/etiology-
dc.subject.MESHMitral Valve Insufficiency/physiopathology-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHProsthesis Failure*-
dc.subject.MESHReproducibility of Results-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHTomography, X-Ray Computed*-
dc.subject.MESHTreatment Outcome-
dc.titleAssessment of Mitral Paravalvular Leakage After Mitral Valve Replacement Using Cardiac Computed Tomography: Comparison With Surgical Findings.-
dc.typeArticle-
dc.publisher.locationUnited States-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Radiology-
dc.contributor.googleauthorYoung Joo Suh-
dc.contributor.googleauthorGeu-Ru Hong-
dc.contributor.googleauthorKyunghwa Han-
dc.contributor.googleauthorDong Jin Im-
dc.contributor.googleauthorSuyon Chang-
dc.contributor.googleauthorYoo Jin Hong-
dc.contributor.googleauthorHye-Jeong Lee-
dc.contributor.googleauthorJin Hur-
dc.contributor.googleauthorByoung Wook Choi-
dc.contributor.googleauthorByung-Chul Chang-
dc.contributor.googleauthorChi Young Shim-
dc.contributor.googleauthorYoung Jin Kim-
dc.identifier.doi10.1161/CIRCIMAGING.115.004153-
dc.contributor.localIdA00727-
dc.contributor.localIdA04370-
dc.contributor.localIdA04386-
dc.contributor.localIdA04422-
dc.contributor.localIdA01892-
dc.contributor.localIdA02213-
dc.contributor.localIdA03320-
dc.contributor.localIdA03361-
dc.contributor.localIdA03430-
dc.contributor.localIdA03444-
dc.contributor.localIdA04059-
dc.relation.journalcodeJ00538-
dc.identifier.eissn1942-0080-
dc.identifier.pmid27307547-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01337498-201606000-00012&LSLINK=80&D=ovft-
dc.subject.keywordcomputed tomography-
dc.subject.keyworddiagnosis-
dc.subject.keywordmitral valve-
dc.subject.keywordparavavular regurgitation-
dc.subject.keywordvalve replacement-
dc.contributor.alternativeNameKim, Young Jin-
dc.contributor.alternativeNameHur, Jin-
dc.contributor.alternativeNameHong, Geu Ru-
dc.contributor.alternativeNameHong, Yoo Jin-
dc.contributor.alternativeNameSuh, Young Joo-
dc.contributor.alternativeNameShim, Chi Young-
dc.contributor.alternativeNameLee, Hye Jeong-
dc.contributor.alternativeNameIm, Dong Jin-
dc.contributor.alternativeNameChang, Byung Chul-
dc.contributor.alternativeNameChang, Su Yon-
dc.contributor.alternativeNameChoi, Byoung Wook-
dc.contributor.affiliatedAuthorKim, Young Jin-
dc.contributor.affiliatedAuthorHur, Jin-
dc.contributor.affiliatedAuthorHong, Geu Ru-
dc.contributor.affiliatedAuthorHong, Yoo Jin-
dc.contributor.affiliatedAuthorSuh, Young Joo-
dc.contributor.affiliatedAuthorShim, Chi Young-
dc.contributor.affiliatedAuthorLee, Hye Jeong-
dc.contributor.affiliatedAuthorIm, Dong Jin-
dc.contributor.affiliatedAuthorChang, Byung Chul-
dc.contributor.affiliatedAuthorChang, Su Yon-
dc.contributor.affiliatedAuthorChoi, Byoung Wook-
dc.citation.volume9-
dc.citation.number6-
dc.citation.startPage004153-
dc.identifier.bibliographicCitationCIRCULATION-CARDIOVASCULAR IMAGING, Vol.9(6) : 004153, 2016-
dc.date.modified2017-02-24-
dc.identifier.rimsid46548-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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