Improvement in the Assessment of Aortic Valve and Aortic Aneurysm Repair by 3-Dimensional Echocardiography

JACC Cardiovasc Imaging. 2019 Nov;12(11 Pt 1):2225-2244. doi: 10.1016/j.jcmg.2018.06.032. Epub 2019 Mar 13.


Reconstructive surgery of the aortic valve is being increasingly used in patients with aortic regurgitation and/or aortic aneurysm. Its success depends on restoring normal aortic valve and root form. Echocardiography is the most reliable and precise imaging technique because it defines abnormal morphology and function, essential for selecting appropriate substrates and guiding the surgical strategy. Despite technical advances in echocardiography, aortic valve and aortic root morphology and function are still assessed mainly using 2-dimensional echocardiography in clinical practice. This review focuses on the need to use 3-dimensional echocardiography to characterize different forms of aortic valve and root abnormalities and attempts to define echocardiographic predictors of successful valve-root complex repair.

Keywords: 3D echocardiography; aortic regurgitation; aortic root; aortic valve repair.

Publication types

  • Review
  • Video-Audio Media

MeSH terms

  • Aortic Aneurysm / diagnostic imaging*
  • Aortic Aneurysm / physiopathology
  • Aortic Aneurysm / surgery
  • Aortic Valve / diagnostic imaging*
  • Aortic Valve / physiopathology
  • Aortic Valve / surgery
  • Aortic Valve Insufficiency / diagnostic imaging*
  • Aortic Valve Insufficiency / physiopathology
  • Aortic Valve Insufficiency / surgery
  • Cardiac Surgical Procedures
  • Echocardiography, Three-Dimensional*
  • Hemodynamics
  • Humans
  • Plastic Surgery Procedures
  • Predictive Value of Tests
  • Recovery of Function
  • Treatment Outcome