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Surgical view
LAA
TV
AV P1 P2 P3
RV
A2 A1 A3
P1
A2
LV
LA
A2
P3 P1
ANT. POST.
AO
LAA
PV
LV
LA
A2
P2 LV LA
Monin et al. J Am Coll Cardiol. 2005; 46: 302-9
P1
P3 P2 A2
A1
A3
Henri Mondor
Henri Mondor
Henri Mondor
Femme Homme
Valeur normale
anomalie modre
moyenne
svre
Valeur normale
modre
moyenne
svre
DTDVG mm
39-53 54-57 58-61 62 42-59 60-63 64-68 69
DTDVG index (SC) mm/m
24-32 33-34 35-37 38 22-31 32-34 35-36 37
DTDVG index (taille) mm/m
25-32 33-34 35-36 37 24-33 34-35 36-37 38
Lang R. J Am Soc Echocardiogr. 2005;18:1440-63
DIAMETRES VG : VALEURS NORMALES / PATHOLOGIQUES
Dilatation VG svre si DTD index > 38 mm /m2
Remerciements: A. Cohen, CHU Saint Antoine
Femme Homme Valeur
normale DIlatation modre
moyenne
svre
Valeur normale
DIlatation modre
moyenne
svre
VTD VG ml
56-104 105-117 118-130 131 65-155 156-178 179-201 201
VTD VG index (SC)
ml/m 35-75 76-86 87-96 97 35-75 76-86 87-96 97
VTSVG 19-49 50-59 60-69 70 22-58 59-70 71-82 83
VTS VG index (SC) 12-30 31-36 37-42 43 12-30 31-36 37-42 43
VOLUMES VG: VALEURS NORMALES / PATHOLOGIQUES
Lang R. J Am Soc Echocardiogr 2005;18:1440-63 Remerciements: A. Cohen, CHU Saint Antoine
Adapt daprs Sievers & Schmidtke. J Thorac Cardiovasc Surg. 2007; 133:1226-33
0 raph / Type 0 1 raph / Type 1 2 raphs / Type 2
21 (7) 269 (88) 14 (5)
Lat
13 (4)
AP
7 (2)
RL
216 (71)
RN
45 (15)
LN
8 (3)
RN-RL
14 (5)
6 (2) 1 (0.3) 79 (26) 22 (7) 3 (1) 6 (2)
7 (2) 5 (2) 119 (39) 15 (5) 3 (1) 2 (1)
1 (0.3) 15 (5) 7 (2) 2 (1) 2 (1)
3 (1) 1 (0.3)
Critre majeur : Nombre de raphs
Sous-catgorie 1 : PosiVon des cusps
(Type 0) ou des raphs (Types 1 et 2)
Sous-catgorie 2 :
FoncVon valvulaire
I
S
B
No
RCA LCA RCA LCA RCA LCA
Henri Mondor
RISK FACTORS: Marfan + Bicuspid valves: Family history of dissecVon, Increase in aorVc diameter >2 mm/year Marfan: Severe AR/ MR, Desire of pregnancy Bicuspid valves: CoarctaVon of the aorta, Systemic hypertension
Henri Mondor
10
Relative aortic size predicts rupture or Dissection of thoracic aortic aneurysms
NB: Non-Marfan patients (94%) Davies et al. Ann Thorac Surg. 2006;81: 169-77