scholarly journals OC23.02: Assessment of cardiac function impairment by four-dimensional echocardiography with inversion mode rendering in fetal congenital heart disease

2005 ◽  
Vol 26 (4) ◽  
pp. 346-346 ◽  
Author(s):  
D. Paladini ◽  
P. Volpe ◽  
M. Vassallo ◽  
G. Sglavo ◽  
P. Martinelli
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Cardiac Function ◽  
Congenital Heart ◽  
Inversion Mode ◽  
Function Impairment ◽  
Dimensional Echocardiography

Abstract 2340: Should Real-time Three-dimensional Echocardiography Become The Preoperative Standard For The Evaluation Of The Mechanisms Of Atrioventricular Valve Regurgitation In The Patient With Congenital Heart Disease?

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Ken Takahashi ◽  
Akio Inage ◽  
Murray Robertson ◽  
Dyck John ◽  
Ross David ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Real Time ◽  
Congenital Heart ◽  
Three Dimensional ◽  
Atrioventricular Valve ◽  
Valve Regurgitation ◽  
Structural Abnormalities ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

Objective: The purpose of this study was to determine whether Real-time three-dimensional echocardiography (RT3D) is superior to two-dimensional echocardiography (2D) in determining mechanisms and site(s) of atrioventricular valve (AV valve) regurgitation in congenital heart disease. Background: Data is lacking on the utility of RT3D echo in congenital abnormalities of the AV valves. Methods: Between May 2006 and April 2007, 35 cases were prospectively studied prior to AV valve repair (20 left and 15 right) by 2D transthoracic (2DTTE), 2D transesophageal (2DTEE) and RT3D (Philips matrix array X 3–1 and X 7–2). Thirty one had significant and 4 mild regurgitation. Ages ranged from 24 days to 30 years (mean 13.8 years), weight 2.2 to 42kg (mean 26.1Kg). The 2DTTE and TEE were reviewed by a blinded observer. The 3D data were analyzed by a separate observer. In 28 patients surgical findings and regurgitation from saline testing were recorded by digital video and later analyzed by an experienced cardiac surgeon. The remaining 7 had a detailed description of the valve morphology documented immediately after surgery. Surgical findings were used as the gold standard for the assessment of structural abnormalities, with RT3D for the evaluation of regurgitation. Results: See table for structural abnormalities. For both the left and right AV valve, saline testing provided a poorer correlation with RT3D color Doppler jet location, in particular for regurgitant jets from the commmissures (p < 0.01). Conclusion: Transthoracic RT3D provides new and superior information as to the mechanisms and site(s) of AV valve failure in congenital heart disease. Concordance between 2D TTE, 2D TEE and 3D TTE compared to surgical findings

The role of echocardiography in adult congenital heart disease

2021 ◽  
pp. 783-807
Author(s):  
Lindsay A. Smith ◽  
Mark K. Friedberg ◽  
Luc Mertens
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Adult Congenital Heart Disease ◽  
Pulmonary Veins ◽  
Diagnostic Technique ◽  
Strain Rate Imaging ◽  
Strain And Strain Rate ◽  
Adult Congenital ◽  
Dimensional Echocardiography

Echocardiography plays a key role in the diagnosis and management of adult patients with congenital heart disease and is considered the first-line diagnostic technique. Apart from traditional cross-sectional imaging, three-dimensional echocardiography and strain and strain rate imaging were introduced for specific indications and for better describing anatomical details and functional consequences of the different congenital lesions. For specific indications, additional imaging may be required including cardiac magnetic resonance imaging and computational tomography. Especially in adult congenital heart disease, echocardiographic imaging may be limited by poor acoustic windows and additional evaluation using other imaging modalities may be required. Additionally, MRI and CT imaging have proven to be extremely valuable for evaluation of right ventricular size and function and for describing extracardiac anatomy (pulmonary arteries, pulmonary veins, and aorta).

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