{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:00:08Z","timestamp":1769115608195,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T00:00:00Z","timestamp":1357862400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:sec><jats:title>Objectives\/Background<\/jats:title><jats:p>Congenital aortic stenosis (<jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>) is the most common obstructive left heart lesion in the young adult population and often complicated by aortic dilatation. Our objective was to evaluate accuracy of aortic imaging with transthoracic echocardiography (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>) compared with cardiac magnetic resonance (<jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Aortic diameters were measured at 4 levels by <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>. Agreement and concordance were assessed by <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>earson's correlation and <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>land\u2013<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>ltman analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine patients (age 33\u00a0\u00b1\u00a08\u00a0years; 66% male) with congenital <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> and a bicuspid aortic valve (<jats:styled-content style=\"fixed-case\">BAV<\/jats:styled-content>) were included. Aortic diameters were generally smaller with <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> than with <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content>. The best correlation was found at the level of the sinotubular junction (R<jats:sup>2<\/jats:sup>\u00a0=\u00a00.78) with a bias of 1.46\u00a0mm (limits of agreement: \u22125.47 to +8.39\u00a0mm). In patients with an aortic aneurysm &gt;40\u00a0mm (n\u00a0=\u00a029) the correlation and agreement between <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> were found to be less good when compared with patients with normal aortic diameters, especially at the level of the proximal ascending aorta. The correlation and agreement between both imaging modalities were better in patients with type 1 <jats:styled-content style=\"fixed-case\">BAV<\/jats:styled-content> compared with type 2 <jats:styled-content style=\"fixed-case\">BAV<\/jats:styled-content>. Intra\u2010 and interobserver variability was smaller with <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> (1.8\u20135.9%) compared with <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> (6.9\u201315.0%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> was found to be superior to <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> for imaging of the aorta in patients with congenital <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>, especially at the level of the proximal ascending aorta when an aortic aneurysm is present. Therefore, ideally <jats:styled-content style=\"fixed-case\">CMR<\/jats:styled-content> should be performed at least once to ensure an ascending aortic aneurysm is not missed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/echo.12086","type":"journal-article","created":{"date-parts":[[2013,1,11]],"date-time":"2013-01-11T08:38:41Z","timestamp":1357893521000},"page":"497-504","source":"Crossref","is-referenced-by-count":21,"title":["Ascending Aortic Diameters in Congenital Aortic Stenosis: Cardiac Magnetic Resonance versus Transthoracic Echocardiography"],"prefix":"10.1111","volume":"30","author":[{"given":"Denise","family":"van der Linde","sequence":"first","affiliation":[{"name":"Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of Radiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sing C.","family":"Yap","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jackie S.","family":"McGhie","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annemien E.","family":"van den Bosch","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon W.M.","family":"Kirschbaum","sequence":"additional","affiliation":[{"name":"Department of Cardiology Erasmus Medical Center Rotterdam The Netherlands"},{"name":"Department of Radiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brunella","family":"Russo","sequence":"additional","affiliation":[{"name":"Department of Radiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arie P.J.","family":"van Dijk","sequence":"additional","affiliation":[{"name":"Department of Cardiology Radboud University Nijmegen Medical Center Nijmegen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adriaan","family":"Moelker","sequence":"additional","affiliation":[{"name":"Department of Radiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel P.","family":"Krestin","sequence":"additional","affiliation":[{"name":"Department of Radiology Erasmus Medical Center Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert\u2010Jan M.","family":"van 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