Complex Ebstein's Malformation: Defining Preoperative Cardiac Anatomy and Function

Negoi, Ruxandra Irina; Ispas, Alexandru; Ghiorghiu, Ioana; Filipoiu, Florin Mihail; Negoi, Ionuț; Hostiuc, Mihaela; Hostiuc, Sorin; Ginghină, Carmen

doi:10.1111/jocs.12032

Cited by 25 publications

(23 citation statements)

References 102 publications

(124 reference statements)

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“…Three-dimensional echocardiographic evaluation with an en face view, multi-slice or flexi-slice rotational views, or tri-plane with or without color Doppler images increased our understanding of the malformed tricuspid valve (Fig. 3) [28,29] and provided additional information on the morphology and function of tricuspid valves, right ventricular outflow tracts (RVOTs), and pulmonic valves, as well as superior RV volumetric information [30]. …”

Section: Common Adult Congenital Heart Diseasementioning

confidence: 99%

Three-dimensional echocardiography in adult congenital heart disease

Yang

2017

Korean J Intern Med

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Congenital heart disease (CHD) is now more common in adults than in children due to improvements in fetal echo, neonatal and pediatric care, and surgical techniques leading to dramatically increased survivability into adulthood. Adult patients with CHD, regardless of prior cardiac surgery, experience further cardiac problems or therapeutic challenges; therefore, a non-invasive, easily accessible echocardiographic examination is an essential follow-up tool. Among echocardiographic modalities, three-dimensional (3D) echocardiography provides better delineation of spatial relationships in complex cardiac geometries and more accurate volumetric information without geometric assumptions. For atrial septal defects, an en face view of the tissue defect allows better decisions on device closure. For tricuspid valve malformations, an en face view provides diagnostic information that is difficult to obtain from routine 2D tomography. In repaired tetralogy of fallot with pulmonary regurgitation, preoperative 3D echocardiography- based right ventricular volume may be used to determine the timing of a pulmonary valve replacement in conjunction with cardiovascular magnetic imaging. For optimal adult CHD care, 3D echocardiography is an important complement to routine 2D echocardiography.

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Section: Common Adult Congenital Heart Diseasementioning

confidence: 99%

Three-dimensional echocardiography in adult congenital heart disease

Yang

2017

Korean J Intern Med

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“…Primary TR is caused by a variety of anatomic abnormalities that can be better visualized by 3D echocardiography than by 2D echo, including the apically located leaflet in Epstein disease, or the thickened and restricted leaflet in carcinoid syndrome. [148][149][150][151][152][153][154] One important finding with 3D echocardiography is pacer-/ device-related lead-derived TR. Multiple publications have reported the usefulness of 3D echocardiography for detecting the location of the lead and its association with significant TR.…”

Section: Aortic Valvementioning

confidence: 99%

Clinical Application of 3-Dimensional Echocardiography in the USA

Shiota

2015

Circ J

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Three-dimensional (3D) echocardiography is one of the most promising methods for the diagnosis of cardiac disease. Left and right ventricular size and function are currently evaluated with 2D echocardiography. However, for unpredictable asymmetry of the chamber geometry, conventional 2D echocardiography cannot be used to accurately determine absolute chamber volumes and ejection fraction. As for valvular heart diseases, the 3D echo approach has proven to be the most unique, powerful, and convincing method for understanding the complicated anatomy of the valves and their dynamism. The method has been useful for surgical management, including robotic mitral valve repair. Moreover, this method has become indispensable for nonsurgical procedures such as edge-to-edge mitral valve repair. Color Doppler 3D echo has also been valuable to identify the location of the regurgitant orifice, and the severity and character of the valvular regurgitation. In addition, 3D echo is invaluable in the diagnosis and management of congenital heart disease and in certain other situations, such as evaluation of the aortic annulus for transcatheter aortic valve implantation or replacement. It is now clear that 3D echocardiography, especially with the continued development of real-time 3D transesophageal echo technology, will enhance the diagnosis and management of patients with heart diseases. (Circ J 2015; 79: 2287 -2298

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“…Primary TR is caused by a variety of anatomical abnormalities that can be better visualized using 3D than 2D echocardiography, including an apically located leaflet in Epstein disease, or a thickened and restricted leaflet in carcinoid syndrome [120,121,122,123,124,125,126]. One important finding with 3D echocardiography is lead-derived TR related to a pacer/device.…”

Section: Tricuspid Valve Regurgitationmentioning

confidence: 99%

Role of modern 3D echocardiography in valvular heart disease

Shiota

2014

Korean J Intern Med

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Three-dimensional (3D) echocardiography has been conceived as one of the most promising methods for the diagnosis of valvular heart disease, and recently has become an integral clinical tool thanks to the development of high quality real-time transesophageal echocardiography (TEE). In particular, for mitral valve diseases, this new approach has proven to be the most unique, powerful, and convincing method for understanding the complicated anatomy of the mitral valve and its dynamism. The method has been useful for surgical management, including robotic mitral valve repair. Moreover, this method has become indispensable for nonsurgical mitral procedures such as edge to edge mitral repair and transcatheter closure of paravaluvular leaks. In addition, color Doppler 3D echo has been valuable to identify the location of the regurgitant orifice and the severity of the mitral regurgitation. For aortic and tricuspid valve diseases, this method may not be quite as valuable as for the mitral valve. However, the necessity of 3D echo is recognized for certain situations even for these valves, such as for evaluating the aortic annulus for transcatheter aortic valve implantation. It is now clear that this method, especially with the continued development of real-time 3D TEE technology, will enhance the diagnosis and management of patients with these valvular heart diseases.

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Complex Ebstein's Malformation: Defining Preoperative Cardiac Anatomy and Function

Abstract: Although imaging methods to investigate Ebstein's malformation have continuously evolved, standardization of assessment protocols by 3D echocardiographic imaging, speckle tracking imaging, and cardiac magnetic resonance imaging is required.

Cited by 25 publications

References 102 publications

Three-dimensional echocardiography in adult congenital heart disease

Three-dimensional echocardiography in adult congenital heart disease

Clinical Application of 3-Dimensional Echocardiography in the USA

Role of modern 3D echocardiography in valvular heart disease

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