Impact of multiplanar review of three-dimensional echocardiographic data on management of congenital heart disease

The Annals of Thoracic Surgery
Tara BharuchaJoseph J Vettukattil

Abstract

In patients with congenital cardiac malformations, accurate diagnosis is critical in diagnosis and management. The multiplanar review mode (MPR) allows the operator to cut three-dimensional (3D) echocardiographic data sets in infinite planes, and to review the moving image in three simultaneous orthogonal planes. We sought to describe the clinical utility of MPR of 3D echocardiography for analysis of congenitally malformed hearts. Cross-sectional and 3D MPR echocardiography was performed in 300 patients with congenitally malformed hearts. Analysis in multiplanar mode was possible in all patients. New, clinically important information, which altered management or changed the principal diagnosis, was obtained in 32 (11%) cases. This determined suitability for biventricular repair in 11 patients, clarified the morphology of atrioventricular valves in 7, helped in assessment of aortic, mitral, or prosthetic valvar disease in 13, and identified a vascular ring in the other patient. 3D MPR is feasible in the setting of the congenitally malformed heart, permitting focused and in-depth analysis. This substantially improves the understanding of functional morphology, above the information derived from cross-sectional echocardiography. W...Continue Reading

References

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Citations

Jul 17, 2009·Current Opinion in Pediatrics·Leo Lopez
Mar 1, 2014·Journal of Echocardiography·Jun Kwan
Dec 7, 2013·Interactive Cardiovascular and Thoracic Surgery·Brijesh P KottayilRaman Krishna Kumar
Oct 11, 2014·Future Cardiology·Marietta CharakidaJohn Simpson
Dec 24, 2013·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Shelby KuttyJeffrey F Smallhorn
Aug 25, 2009·The Journal of Thoracic and Cardiovascular Surgery·Eugénie RiesenkampffTitus Kuehne
Jun 26, 2009·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Anne-Sophie BeraudDavid H Liang
May 26, 2009·The Annals of Thoracic Surgery·Andreea DragulescuJan Marek
Jul 5, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Waseem CossorDavid A Roberson
Dec 25, 2012·Expert Review of Cardiovascular Therapy·Tara Bharucha, Luc Mertens
Jan 9, 2020·The Egyptian Heart Journal : (EHJ) : Official Bulletin of the Egyptian Society of Cardiology·Dina Adel EzzeldinAzza Abdallah El Fiky
Feb 20, 2021·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Gopalraj S SunilRaman Krishna Kumar
Jul 2, 2021·Current Cardiology Reports·Anas S Taqatqa, Joseph J Vettukattil
Nov 26, 2020·Journal of Cardiothoracic and Vascular Anesthesia·Manjusha N PillaiBaiju S Dharan
Feb 20, 2009·Revista española de cardiología·Constancio Medrano LópezAntonio Moruno Tirado

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