Multivariable assessment of the right ventricle by echocardiography in patients with repaired tetralogy of Fallot undergoing pulmonary valve replacement: A comparative study with magnetic resonance imaging

Selly, Jean-Bernard; Iriart, Xavier; Roubertie, François; Mauriat, Philippe; Marek, Jan; Guilhon, Emmanuelle; Jamal-Bey, Karim; Thambo, Jean-Benoît

doi:10.1016/j.acvd.2014.07.054

Cited by 50 publications

(41 citation statements)

References 29 publications

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“…We did not observe a correlation between RV size by echocardiogram and CMRI‐derived RV volumes in the current study, and we speculate that the differences between our results and that of Selly et al may be due to the differences in imaging technique (3D‐echocardiogram‐derived RV volume vs 2D‐echocardiograph‐derived RV surface areas). Additionally, the Selly et al study did not identify a correlation between TAPSE and RV s', and CMRI‐derived RVEF, but we suspect that this may be related to a small sample size because that study was based on a cohort 26 patients. Since 3D‐echocardiogram is still not routinely used for the assessment of RV function in clinical practice in this population, the 2D‐echocardiographic indices reported in our study may have a wider application in clinical practice.…”

Section: Discussioncontrasting

confidence: 96%

“…Among the 2D‐echocardiographic indices assessed in that study, only FAC correlated with RVEF . We did not observe a correlation between RV size by echocardiogram and CMRI‐derived RV volumes in the current study, and we speculate that the differences between our results and that of Selly et al may be due to the differences in imaging technique (3D‐echocardiogram‐derived RV volume vs 2D‐echocardiograph‐derived RV surface areas). Additionally, the Selly et al study did not identify a correlation between TAPSE and RV s', and CMRI‐derived RVEF, but we suspect that this may be related to a small sample size because that study was based on a cohort 26 patients.…”

Section: Discussioncontrasting

confidence: 83%

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The role of echocardiography for quantitative assessment of right ventricular size and function in adults with repaired tetralogy of Fallot

Egbe

Pislaru

Kothapalli

et al. 2019

Congenital Heart Disease

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Background Quantitative assessment of right ventricular (RV) systolic function by echocardiography is challenging in patients with congenital heart disease because of the complex geometry of the RV and the iatrogenic structural abnormalities resulting from prior cardiac surgeries. The purpose of this study was to determine the correlation between echocardiographic indices of RV systolic function and cardiac magnetic resonance imaging (CMRI) derived RV ejection fraction (RVEF) in adults with repaired tetralogy of Fallot (TOF). Methods Quantitative assessment of RV function was performed with RV tissue Doppler systolic velocity (RV s'), tricuspid annular plane systolic excursion (TAPSE), and fractional area change (FAC). These echocardiographic indices were compared to RVEF from CMRI performed on the same day as echocardiogram. Results Of 209 patients, the mean RV FAC was 39 ± 9%, TAPSE was 18 ± 4 mm, RV s' was 10 ± 2 cm/s, and RVEF was 40 ± 10%. There was a good correlation between TAPSE and RVEF (r = 0.79, P < .001), good correlation between RV s' and RVEF (r = 0.71, P < .001), and modest correlation between FAC and RVEF (r = 0.66, P < .001). TAPSE < 17 mm effectively discriminated between patients with RV systolic dysfunction defined as RVEF < 47% (sensitivity 81%, specificity 79%, area under the curve [AUC] 0.805). FAC < 40% was associated with RVEF < 47% (sensitivity 72%, specificity 63%, AUC 0.719). RV s' < 11 cm was associated with RVEF < 47% (sensitivity 83%, specificity 68%, AUC 0.798). Conclusion Despite the structural and functional abnormalities of the RV in patients with repaired TOF, quantitative assessment of RV systolic function by echocardiography is feasible and had good correlation with CMRI‐derived RVEF.

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Section: Discussioncontrasting

confidence: 96%

Section: Discussioncontrasting

confidence: 83%

The role of echocardiography for quantitative assessment of right ventricular size and function in adults with repaired tetralogy of Fallot

Egbe

Pislaru

Kothapalli

et al. 2019

Congenital Heart Disease

View full text Add to dashboard Cite

show abstract

“…This might lead to the RV function being overestimated as the four‐chamber focused RV view entirely excludes the RV outflow tract. The FAC has, however, demonstrated utility in showing appreciable concordance with RVEF on CMR both postsurgical and presurgical intervention in this population . In replication, our limited clinical model of predicting early or late recovery in surgical ICU was also best predicted by a model based on the FAC (Table ).…”

Section: Discussionmentioning

confidence: 99%

Perioperative echocardiography‐derived right ventricle function parameters and early outcomes after tetralogy of Fallot repair in mid‐childhood: a single‐center, prospective observational study

et al. 2016

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“…38 However, as RVEDA and RVFAC measured by 2D echocardiography show linear correlation with RV volume and EF measured by CMR, 40 RVEDA and RVFAC are considered useful tools for assessing RV function in the clinical setting. 41 Third, this was a cross-sectional study, so to analyze the true effect of aging on LV deformation, a longitudinal follow-up study is needed. Another important factor to consider is that the age of surgery for TOF in our T3 group was older than that in the T1 and T2 groups; this difference may affect LV function.…”

Section: Study Limitationsmentioning

confidence: 99%

Mechanisms of Left Ventricular Dysfunction Assessed by Layer-Specific Strain Analysis in Patients With Repaired Tetralogy of Fallot

Yamada

Takahashi

Kobayashi

et al. 2017

Circ J

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importance of LV-RV interaction in patients who have undergone TOF repair. 8 Geva et al showed that lower LVEF and older age at repair were the strongest independent factors associated with impaired clinical status in long-term survivors of rTOF. 13 Recently, Diller et al showed that LV longitudinal dysfunction, such as impairment in longitudinal global strain and decreased mitral annular plane systolic excursion, were associated with an increased risk of sudden cardiac death and/or life threatening ventricular arrhythmias in patients with rTOF. 12 Therefore, the assessment of LV function in patients with TOF is crucial because it is the strongest determinant of a poor clinical outcome in these patients. Despite the importance of LV dysfunction, the mechanisms and time course of the development of LV dysfunction remain poorly understood. 14 Its mechanisms and time course in patients with rTOF are important because it has the potential to become T etralogy of Fallot (TOF) is the most prevalent form of cyanotic congenital heart disease. 1 Significant advances in the early management of TOF have dramatically improved the survival of TOF patients, 2 with current 30-year survival rates reaching 89%. 3 However, late ventricular dysfunction related to residual hemodynamic and electrophysiological abnormalities remains a problem, contributing to increasing morbidity and mortality rates beginning in the third decade of life. 2,4-6 Previous investigators assessing ventricular function in patients with repaired TOF (rTOF) have primarily focused on right ventricular (RV) mechanics and their interaction with pulmonary regurgitation (PR). 7-9 Moreover, the importance of left ventricular (LV) dysfunction as a risk factor for long-term adverse outcomes is increasingly acknowledged. (rTOF) is an important risk factor for adverse outcomes. The aim of this study was to assess the details and time course of such LV dysfunction using layer-specific strain analysis by echocardiography.

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Multivariable assessment of the right ventricle by echocardiography in patients with repaired tetralogy of Fallot undergoing pulmonary valve replacement: A comparative study with magnetic resonance imaging

Cited by 50 publications

References 29 publications

The role of echocardiography for quantitative assessment of right ventricular size and function in adults with repaired tetralogy of Fallot

The role of echocardiography for quantitative assessment of right ventricular size and function in adults with repaired tetralogy of Fallot

Perioperative echocardiography‐derived right ventricle function parameters and early outcomes after tetralogy of Fallot repair in mid‐childhood: a single‐center, prospective observational study

Mechanisms of Left Ventricular Dysfunction Assessed by Layer-Specific Strain Analysis in Patients With Repaired Tetralogy of Fallot

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