Journal of the American Society of Echocardiography
Volume 23, Issue 10 , Pages 1060-1066 , October 2010

Improvement of Ultrasonic Myocardial Properties after Aortic Valve Replacement for Pure Severe Aortic Stenosis: The Predictive Value of Ultrasonic Tissue Characterization for Left Ventricle Reverse Remodeling

  • Marcin Fijalkowski, MD, PhD

      Affiliations

    • First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland
    • Corresponding Author InformationAddress reprint requests to Marcin Fijalkowski, MD, PhD, Medical University of Gdansk, First Department of Cardiology, ul Debinki 7, 80-211 Gdansk, Poland.
    • ,
  • Andrzej Koprowski, MD, PhD

      Affiliations

    • First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Rafal Galaska, MD, PhD

      Affiliations

    • First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Marcin Gruchala, MD, PhD

      Affiliations

    • First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Rafal Pawlaczyk, MD, PhD

      Affiliations

    • Cardiosurgery Department, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Maciej Brzezinski, MD, PhD

      Affiliations

    • Cardiosurgery Department, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Jan Rogowski, MD, PhD

      Affiliations

    • Cardiosurgery Department, Medical University of Gdansk, Gdansk, Poland
    • ,
  • Andrzej Rynkiewicz, MD, PhD, FESC, FACC

      Affiliations

    • First Department of Cardiology, Medical University of Gdansk, Gdansk, Poland

References 

  1. Lund O, Nielsen TT, Emmertsen K, Flo C, Rasmussen B, Jensen FT, et al. Mortality and worsening of prognostic profile during waiting time for valve replacement in aortic stenosis. Thorac Cardiovasc Surg. 1996;44:289–295
  2. Otto CM. Valvular aortic stenosis: disease severity and timing of intervention. J Am Coll Cardiol. 2006;47:2141–2151
  3. Villari B, Campbell SE, Hess OM, Mall G, Vassalli G, Weber KT, et al. Influence of collagen network on left ventricular systolic and diastolic function in aortic valve disease. J Am Coll Cardiol. 1993;22:1477–1484
  4. Giorgi D, Di Bello V, Talini E, Palagi C, Delle Donne MG, Nardi C, et al. Myocardial function in severe aortic stenosis before and after aortic valve replacement: a Doppler tissue imaging study. J Am Soc Echocardiogr. 2005;18:8–14
  5. Castaldo M, Funaro S, Veneroso G, Agati L. Detection of residual tissue viability within the infarct zone in patients with acute myocardial infarction: ultrasonic integrated backscatter analysis versus dobutamine stress echocardiography. J Am Soc Echocardiogr. 2000;13:358
  6. Maceira AM, Barba J, Varo N, Beloqui O, Diez J. Ultrasonic backscatter and serum marker of cardiac fibrosis in hypertensives. Hypertension. 2002;39:923–928
  7. Ciulla M, Paliotti R, Hess DB, Tjahja E, Campbell SE, Magrini F, et al. Echocardiographic patterns of myocardial fibrosis in hypertensive patients: endomyocardial biopsy versus ultrasonic tissue characterization. J Am Soc Echocardiogr. 1997;10:657–664
  8. Di Bello V, Giorgi D, Talini E, Dell' Omo G, Palagi C, Romano MF, et al. Incremental value of ultrasonic tissue characterization (backscatter) in the evaluation of left ventricular myocardial structure and mechanics in essential arterial hypertension. Circulation. 2003;107:74–80
  9. Fijalkowski M, Koprowski A, Gruchala M, Galaska R, Debska-Slizien A, Rogowski J, et al. Effect of preload reduction by hemodialysis on myocardial ultrasonic characterization, left atrial volume, and Doppler tissue imaging in patients with end-stage renal disease. J Am Soc Echocardiogr. 2006;19:1359–1364
  10. Kozakova M, Buralli S, Palombo C, Bernini G, Moretti A, Favilla S, et al. Myocardial ultrasonic backscatter in hypertension: relation to aldosterone and endothelin. Hypertension. 2003;41:230–236
  11. Schiller NB, Shah PM, Crawford M, DeMaria A, Devereux R, Feigenbaum H, et al. American Society of Echocardiography Committee on Standards, Subcommittee on Quantitation of Two-Dimensional Echocardiograms Recommendations for quantitation of the left ventricle by two-dimensional echocardiography. J Am Soc Echocardiogr. 1989;2:358–367
  12. Palmieri VDB, DeQuattro V, Sharpe N, Bella JN, de Simone G, Paranicas M, et al. Reliability of echocardiographic assessment of left ventricular structure and function: the PRESERVE study. J Am Coll Cardiol. 1999;34:1625–1632
  13. de Simone G, Devereux RB, Roman MJ, Ganau A, Saba PS, Alderman MH, et al. Assessment of left ventricular function by the midwall fractional shortening/end-systolic stress relation in human hypertension. J Am Coll Cardiol. 1994;23:1444–1451
  14. Gaasch WH, Zile MR, Hoshino PK, Apstein CS, Blaustein AS. Stress-shortening relations and myocardial blood flow in compensated and failing canine hearts with pressure-overload hypertrophy. Circulation. 1989;79:872–883
  15. Wachtell K. Left ventricular systolic performance in asymptomatic aortic stenosis. Eur Heart J. 2008;10(suppl):E16–E22
  16. Rakowski H, Appleton C, Chan KL, Dumesnil JG, Honos G, Jue J, et al. Canadian consensus recommendations for the measurement and reporting of diastolic dysfunction by echocardiography: from the Investigators of Consensus on Diastolic Dysfunction by Echocardiography. J Am Soc Echocardiogr. 1996;9:736–760
  17. Srivastava PM, Burrell LM, Calafiore P. Lateral vs medial mitral annular tissue Doppler in the echocardiographic assessment of diastolic function and filling pressures: which should we use?. Eur J Echocardiogr. 2005;6:97–106
  18. Maceira AM, Barba J, Beloqui O, Diez J. Ultrasonic backscatter and diastolic function in hypertensive patients. Hypertension. 2002;40:239–243
  19. Pacileo G, Calabro P, Limongelli G, Russo MG, Pisacane C, Sarubbi B, et al. Left ventricular remodeling, mechanics, and tissue characterization in congenital aortic stenosis. J Am Soc Echocardiogr. 2003;16:214–220
  20. Di Bello V, Giorgi D, Viacava P, Enrica T, Nardi C, Palagi C, et al. Severe aortic stenosis and myocardial function: diagnostic and prognostic usefulness of ultrasonic integrated backscatter analysis. Circulation. 2004;110:849–855
  21. Connolly HM, Oh JK, Orszulak TA, Osborn SL, Roger VL, Hodge DO, et al. Aortic valve replacement for aortic stenosis with severe left ventricular dysfunction. Prognostic indicators. Circulation. 1997;95:2395–2400
  22. Cohn JN, Ferrari R, Sharpe N. Cardiac remodeling—concepts and clinical implications: a consensus paper from an international forum on cardiac remodeling. J Am Coll Cardiol. 2000;35:569–582
  23. Kupari M, Turto H, Lommi J. Left ventricular hypertrophy in aortic valve stenosis: preventive or promotive of systolic dysfunction and heart failure?. Eur Heart J. 2005;26:1790–1796
  24. Hanayama N, Christakis GT, Mallidi HR, Rao V, Cohen G, Goldman BS, et al. Determinants of incomplete left ventricular mass regression following aortic valve replacement for aortic stenosis. J Card Surg. 2005;20:307–313
  25. Hirooka K, Yasumura Y, Tsujita Y, Hanatani A, Nakatani S, Hori M, et al. Enhanced method for predicting left ventricular reverse remodeling after surgical repair of aortic regurgitation: application of ultrasonic tissue characterization. J Am Soc Echocardiogr. 2002;15:695–701
  26. Tasca G, Brunelli F, Cirillo M, DallaTomba M, Mhagna Z, Troise G, et al. Impact of valve prosthesis-patient mismatch on left ventricular mass regression following aortic valve replacement. Ann Thorac Surg. 2005;79:505–510

 This study was supported by grant 2 P05B 099 27 from the Polish Ministry of Science and Higher Education.

PII: S0894-7317(10)00647-4

doi: 10.1016/j.echo.2010.07.018

Journal of the American Society of Echocardiography
Volume 23, Issue 10 , Pages 1060-1066 , October 2010

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