Evaluation of Atrioventricular Septal Defects by Three-Dimensional Echocardiography: Benefits of Navigating the Third Dimension

2012 ◽  
Vol 25 (9) ◽  
pp. 932-944 ◽  
Author(s):  
Shelby Kutty ◽  
Jeffrey F. Smallhorn
Keyword(s):  
Three Dimensional ◽  
Atrioventricular Septal Defects ◽  
The Third ◽  
Septal Defects ◽  
Dimensional Echocardiography ◽  
Third Dimension ◽  
Three Dimensional Echocardiography

The angulation of the septal structures impacts ventricular imbalance in atrioventricular septal defects with a common atrioventricular junction

2015 ◽  
Vol 26 (2) ◽  
pp. 321-326 ◽  
Author(s):  
Zaheer Ahmad ◽  
Zek Lim ◽  
Kevin Roman ◽  
Marcus Haw ◽  
Robert H. Anderson ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Three Dimensional ◽  
Data Sets ◽  
Atrioventricular Septal Defects ◽  
Septal Defects ◽  
The Mean ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography ◽  
Dimensional Assessment ◽  
Full Volume

AbstractObjectiveMultiplanar re-formatting of full-volume three-dimensional echocardiography data sets offers new insights into the morphology of atrioventricular septal defects. We hypothesised that distortion of the alignment between the atrial and ventricular septums results in imbalanced venous return to the ventricles, with consequent proportional ventricular hypoplasia.MethodsA single observer evaluated 31 patients, with a mean age of 52.09 months, standard deviation of 55, and with a range from 2 to 264 months, with atrioventricular septal defects, of whom 17 were boys. Ventricular imbalance, observed in nine patients, was determined by two-dimensional assessment, and confirmed at surgical inspection in selected cases when a univentricular strategy was undertaken. Offline analysis using multiplanar re-formatting was performed. A line was drawn though the length of the ventricular septum and a second line along the plane of the atrial septum, taking the angle between these two lines as the atrioventricular septal angle. We compared the angle between 22 patients with adequately sized ventricles, and those with ventricular imbalance undergoing univentricular repair.ResultsIn the 22 patients undergoing biventricular repair, the septal angle was 0 in 14 patients; the other eight patients having angles ranging from 1 to 36, with a mean angle of 7.4°, and standard deviation of 11.1°.The mean angle in the nine patients with ventricle imbalance was 28.6°, with a standard deviation of 3.04°, and with a range from 26 to 35°. Of those undergoing univentricular repair, two patients died, with angles of 26 and 30°, respectively.ConclusionsThe atrioventricular septal angle derived via multiplanar formatting gives important information regarding the degree of ventricular hypoplasia and imbalance. When this angle is above 25°, patients are likely to have ventricular imbalance requiring univentricular repair.

scholarly journals Real time three-dimensional echocardiography: The importance of the third dimension in everyday clinical practice

2012 ◽  
Vol 31 (4) ◽  
pp. 258-262
Author(s):  
Bosiljka Vujisić-Tešić ◽  
Milan Petrović ◽  
Marija Boričić ◽  
Gordana Draganić ◽  
Danijela Trifunović
Keyword(s):  
Clinical Practice ◽  
Real Time ◽  
Three Dimensional ◽  
Everyday Clinical Practice ◽  
The Third ◽  
Dimensional Echocardiography ◽  
Third Dimension ◽  
Three Dimensional Echocardiography

scholarly journals The role of three-dimensional transesophageal echocardiography in preoperative assessment of atrial septal defects

2015 ◽  
Vol 18 (1) ◽  
pp. 58 ◽  
Author(s):  
D. G. Tarasov ◽  
I. V. Tkachev ◽  
S. S. Kadrabulatova
Keyword(s):  
Atrial Septal Defect ◽  
Transesophageal Echocardiography ◽  
Septal Defect ◽  
Preoperative Evaluation ◽  
Three Dimensional ◽  
Maximum Diameter ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Dimensional Echocardiography ◽  
Three Dimensional Echocardiography

An atrial septal defect is the most common congenital heart disease. Transcatheter defect closure has become widespread in recent times and the requirements for this procedure are rather strict. Two-dimensional echocardiography is limited in evaluating atrial septal defects because it provides planar images only. In order to preoperatively assess atrial septal defects, we applied three-dimensional transesophageal echocardiography and then compared the results with those of surgical operations. The maximum diameter, shape, area and localization of the atrial septal defect in 26 patients were estimated with three-dimensional echocardiography. It was found out that positive correlation existed between three-dimensional echocardiography findings and those measured during surgery. Three-dimensional echocardiography provides invaluable assistance in preoperative evaluation of atrial septal defects and in selection of treatment.

scholarly journals The Clinical Benefits of Adding a Third Dimension to Assess the Left Ventricle with Echocardiography

Scientifica ◽  
2014 ◽  
Vol 2014 ◽  
pp. 1-18 ◽  
Author(s):  
Luigi P. Badano
Keyword(s):  
Comprehensive Evaluation ◽  
Three Dimensional ◽  
Left Ventricular ◽  
Data Sets ◽  
Clinical Benefits ◽  
Echocardiographic Assessment ◽  
Dimensional Echocardiography ◽  
Third Dimension ◽  
Three Dimensional Echocardiography ◽  
And Function

Three-dimensional echocardiography is a novel imaging technique based on acquisition and display of volumetric data sets in the beating heart. This permits a comprehensive evaluation of left ventricular (LV) anatomy and function from a single acquisition and expands the diagnostic possibilities of noninvasive cardiology. It provides the possibility of quantitating geometry and function of LV without preestablished assumptions regarding cardiac chamber shape and allows an echocardiographic assessment of the LV that is less operator-dependent and therefore more reproducible. Further developments and improvements for widespread routine applications include higher spatial and temporal resolution to improve image quality, faster acquisition, processing and reconstruction, and fully automated quantitative analysis. At present, three-dimensional echocardiography complements routine 2DE in clinical practice, overcoming some of its limitations and offering additional valuable information that has led to recommending its use for routine assessment of the LV of patients in whom information about LV size and function is critical for their clinical management.

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