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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">abc</journal-id>
      <journal-title-group>
        <journal-title>Arquivos Brasileiros de Cardiologia</journal-title>
        <abbrev-journal-title abbrev-type="publisher">Arq. Bras. Cardiol.</abbrev-journal-title>
      </journal-title-group>
      <issn pub-type="ppub">0066-782X</issn>
      <issn pub-type="epub">1678-4170</issn>
      <publisher>
        <publisher-name>Sociedade Brasileira de Cardiologia - SBC</publisher-name>
        <publisher-loc>S&#227;o Paulo, SP, Brazil</publisher-loc>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v3">fBsG43cWNYr4mtPZZP8fWHx</article-id>
      <article-id pub-id-type="other">00032</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v2">S0066-782X2006001800032</article-id>
      <article-id pub-id-type="publisher-id" specific-use="scielo-v1">S0066-782X(06)08700532</article-id>
      <article-id pub-id-type="doi">10.1590/S0066-782X2006001800032</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Imagem</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Formato em sela do &#226;nulo valvar mitral: imagem obtida com a ecocardiografia transtor&#225;cica tridimensional</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name>
            <surname>Vieira</surname>
            <given-names>Marcelo Luiz Campos</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Maddukuri</surname>
            <given-names>Prasad</given-names>
          </name>
          <xref ref-type="aff" rid="aff02"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Pandian</surname>
            <given-names>Natesa G.</given-names>
          </name>
          <xref ref-type="aff" rid="aff02"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mathias Jr.</surname>
            <given-names>Wilson</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ramires</surname>
            <given-names>Jos&#233; Ant&#244;nio F.</given-names>
          </name>
          <xref ref-type="aff" rid="aff01"/>
        </contrib>
      </contrib-group>
      <aff id="aff02">
        <addr-line>
          <named-content content-type="city">Boston</named-content>
          <named-content content-type="state">MA</named-content>
        </addr-line>
        <institution content-type="orgname">Tufts University</institution>
        <institution content-type="orgdiv1">New England Medical Center </institution>
        <country country="US">USA</country>
      </aff>
      <aff id="aff01">
        <addr-line>
          <named-content content-type="city">S&#227;o Paulo</named-content>
          <named-content content-type="state">SP</named-content>
        </addr-line>
        <institution content-type="orgname">USP</institution>
        <institution content-type="orgdiv1">FM </institution>
        <institution content-type="orgdiv2">Hospital das Cl&#237;nicas</institution>
      </aff>
      <pub-date date-type="collection" publication-format="electronic">
        <month>11</month>
        <year>2006</year>
      </pub-date>
      <volume>87</volume>
      <issue>5</issue>
      <fpage>e215</fpage>
      <lpage>e216</lpage>
      <permissions>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/4.0/" xml:lang="en">
          <license-p>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</license-p>
        </license>
      </permissions>
      <pub-date publication-format="electronic" date-type="pub">
        <day>06</day>
        <month>03</month>
        <year>2007</year>
      </pub-date>
    </article-meta>
  </front>
  <body>
    <p>
      <bold>IMAGEM</bold>
    </p>
    <p>
      <bold>Formato em sela do &#226;nulo valvar mitral: imagem obtida com a ecocardiografia transtor&#225;cica tridimensional</bold>
    </p>
    <p>
      <bold>Marcelo Luiz Campos Vieira<sup>I</sup>; Prasad Maddukuri<sup>II</sup>; Natesa G. Pandian<sup>II</sup>; Wilson Mathias Jr.<sup>I</sup>; Jos&#233; Ant&#244;nio F. Ramires<sup>I</sup></bold>
    </p>
    <p><sup>I</sup>Instituto do Cora&#231;&#227;o do Hospital das Cl&#237;nicas &#150; FMUSP </p>
    <p><sup>II</sup>Tufts University &#150; New England Medical Center, S&#227;o Paulo, SP - Boston, MA, USA</p>
    <p>
      <xref ref-type="corresp" rid="back">Correspond&#234;ncia</xref>
    </p>
    <p><bold>Palavras-chave:</bold> Ecocardiografia, ecocardiografia tridimensional, valva mitral, anatomia.</p>
    <p>Descrevemos caso de volunt&#225;rio de 28 anos, sexo masculino, que foi submetido a investiga&#231;&#227;o ecocardiogr&#225;fica transtor&#225;cica tridimensional (eco 3D). A anatomia card&#237;aca revelou-se normal, e a an&#225;lise ao eco 3D possibilitou a identifica&#231;&#227;o do formato em sela do &#226;nulo valvar mitral (<xref ref-type="fig" rid="f1ael">fig. 1A</xref> e <xref ref-type="fig" rid="f1bel">1B</xref>), que n&#227;o havia sido identificado com o emprego da ecocardiografia bidimensional. A ecocardiografia tridimensional constitui m&#233;todo de investiga&#231;&#227;o card&#237;aca por imagem que possibilita avan&#231;o &#224; an&#225;lise anat&#244;mica e diagn&#243;stica<sup>1,2</sup>.</p>
    <p content-type="asset">
      <fig id="f1ael">
        <graphic xlink:href="1678-4170-abc-87-05-e215-00032-gf01.jpg"/></fig>
    </p>
    <p content-type="asset">
      <fig id="f1bel">
        <graphic xlink:href="1678-4170-abc-87-05-e215-00032-gf02.jpg"/></fig>
    </p>
    <p>Trabalho realizado com o apoio da CAPES, Bras&#237;lia, DF.</p>
    <p>
      <bold>Refer&#234;ncias</bold>
    </p>
    <p>1. De Castro S, Salandin V, Cartoni D, et al. Qualitative and quantitative evaluation of mitral valve morphology by intraoperative volume rendered three-dimensional echocardiography. J Heart Valve Dis 2002;11(2):173-80.</p>
    <p>2. Kwan J, Shiota T, Agler DA, et al. Geometric differences of the mitral apparatus between ischemic and dilated cardyomyopathy with significant mitral regurgitation: real-time three-dimensional echocardiography study. Circulation 2003;107(8):135-40.</p>
    <p>
      <fn id="back" fn-type="corresp">
        <p>
          <graphic xlink:href="1678-4170-abc-87-05-e215-00032-e01.jpg"/></p>
        <p>
          <bold>Correspond&#234;ncia:</bold>
        </p>
        <p> Marcelo Luiz Campos Vieira </p>
        <p> Rua Cardoso de Melo, 463/21 </p>
        <p> 04548-002 &#150; S&#227;o Paulo, SP </p>
        <p> E-mail: </p>
        <p>
          <email xlink:href="mluiz766@terra.com.br">mluiz766@terra.com.br</email>
        </p>
      </fn>
    </p>
    <p>Recebido em 11/10/05; revisado recebido em 17/10/05; aceito em 17/10/05.</p>
  </body>
  <sub-article article-type="translation" id="TRen" xml:lang="en">
    <front-stub>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Image</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title xml:lang="en">Saddle shape of mitral valve annulus: three-dimensional transthoracic echocardiography</article-title>
      </title-group>
    </front-stub>
    <body>
      <p>
        <bold>IMAGE</bold>
      </p>
      <p>
        <bold>Saddle shape of mitral valve annulus: three-dimensional transthoracic echocardiography</bold>
      </p>
      <p>
        <bold>Marcelo Luiz Campos Vieira<sup>I</sup>; Prasad Maddukuri<sup>II</sup>; Natesa G. Pandian<sup>II</sup>; Wilson Mathias Jr.<sup>I</sup>; Jos&#233; Ant&#244;nio F. Ramires<sup>I</sup></bold>
      </p>
      <p><sup>I</sup>Instituto do Cora&#231;&#227;o do Hospital das Cl&#237;nicas &#150; FMUSP</p>
      <p><sup>II</sup>Tufts University &#150; New England Medical Center, S&#227;o Paulo, SP, Brazil - Boston, MA, USA</p>
      <p>
        <xref ref-type="corresp" rid="back-body2">Mailing Address</xref>
      </p>
      <p><bold>Key words:</bold> Echocardiography, three-dimensional echocardiography, mitral valve, anatomy.</p>
      <p>We are describing the case of volunteer, 28 years old, male, submitted to transdimensional transthoracic echocardiographic investigation (3D echo). Cardiac anatomy showed to be normal. 3D echo analysis allowed the identification of saddle shape of mitral valve annulus (<xref ref-type="fig" rid="en_13f1ael-body2">Fig. 1A</xref> and <xref ref-type="fig" rid="en_13f1bel-body2">Fig. 1B</xref>), which had not been identified by bidimensional echocardiography. Three-dimensional echocardiography is an imaging investigation method that leads to advancement towards anatomic and diagnostic analysis<sup>1,2</sup>.</p>
      <p content-type="asset">
        <fig id="en_13f1ael-body2">
          <graphic xlink:href="1678-4170-abc-87-05-e215-00032-gf01-en.jpg"/></fig>
      </p>
      <p content-type="asset">
        <fig id="en_13f1bel-body2">
          <graphic xlink:href="1678-4170-abc-87-05-e215-00032-gf02-en.jpg"/></fig>
      </p>
      <p>This study was supported by CAPES, Brasilia, DF, Brazil.</p>
      <p>
        <bold>Refer&#234;ncias</bold>
      </p>
      <p>1. De Castro S, Salandin V, Cartoni D, et al. Qualitative and quantitative evaluation of mitral valve morphology by intraoperative volume rendered three-dimensional echocardiography. J Heart Valve Dis 2002;11(2):173-80.</p>
      <p>2. Kwan J, Shiota T, Agler DA, et al. Geometric differences of the mitral apparatus between ischemic and dilated cardyomyopathy with significant mitral regurgitation: real-time three-dimensional echocardiography study. Circulation 2003;107(8):135-40.</p>
      <p>
        <fn id="back-body2" fn-type="corresp">
          <p>
            <graphic xlink:href="1678-4170-abc-87-05-e215-00032-e01-en.jpg"/></p>
          <p>
            <bold>Correspond&#234;ncia:</bold>
          </p>
          <p> Marcelo Luiz Campos Vieira</p>
          <p> Rua Cardoso de Melo, 463/21</p>
          <p> 04548-002 &#150; S&#227;o Paulo, SP</p>
          <p> E-mail: </p>
          <p>
            <email xlink:href="mluiz766@terra.com.br">mluiz766@terra.com.br</email>
          </p>
        </fn>
      </p>
      <p>Recebido em 11/10/05; revisado recebido em 17/10/05; aceito em 17/10/05.</p>
    </body>
  </sub-article>
</article>
