Emerging clinical applications of strain imaging and three-dimensional echocardiography for the assessment of ventricular function in adult congenital heart disease

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

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The role of echocardiography in adult congenital heart disease

The ESC Textbook of Cardiovascular Imaging ◽

10.1093/med/9780198849353.003.0054 ◽

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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Real-time three-dimensional echocardiography of congenital heart disease using a high frequency paediatric matrix transducer

European Journal of Echocardiography ◽

10.1016/j.euje.2007.06.012 ◽

2007 ◽

Cited By ~ 1

Author(s):

J SIMPSON

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Real Time ◽

High Frequency ◽

Congenital Heart ◽

Three Dimensional ◽

Dimensional Echocardiography ◽

Three Dimensional Echocardiography

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Feasibility and Clinical Impact of Live Three-Dimensional Echocardiography in the Management of Congenital Heart Disease

Echocardiography ◽

10.1111/j.1540-8175.2006.00262.x ◽

2006 ◽

Vol 23 (7) ◽

pp. 553-561 ◽

Cited By ~ 19

Author(s):

Stefano De Castro ◽

Stefano Caselli ◽

Federica Papetti ◽

Flavia Ventriglia ◽

Arianna Giardina ◽

...

Keyword(s):

Congenital Heart Disease ◽

Heart Disease ◽

Congenital Heart ◽

Three Dimensional ◽

Clinical Impact ◽

Dimensional Echocardiography ◽

Three Dimensional Echocardiography

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A Virtual Reality System for Improved Image-based Planning of Complex Cardiac Procedures

10.20944/preprints202106.0114.v2 ◽

2021 ◽

Author(s):

Shujie Deng ◽

Gavin Wheeler ◽

Nicolas Toussaint ◽

Lindsay Munroe ◽

Suryava Bhattacharya ◽

...

Keyword(s):

Congenital Heart Disease ◽

Virtual Reality ◽

Heart Disease ◽

Congenital Heart ◽

Three Dimensional ◽

Patient Specific ◽

Two Dimensional ◽

Virtual Reality System ◽

Dimensional Echocardiography ◽

Three Dimensional Echocardiography

The intricate nature of congenital heart disease requires understanding of complex, patient-specific three-dimensional dynamic anatomy of the heart, from imaging data such as three-dimensional echocardiography for successful outcomes from surgical and interventional procedures. Conventional clinical systems use flat screens and therefore display remains two-dimensional, which undermines the full understanding of the three-dimensional dynamic data. Additionally, control of three-dimensional visualisation with two-dimensional tools is often difficult, so used only by imaging specialists. In this paper we describe a virtual reality system for immersive surgery planning using dynamic three-dimensional echocardiography, which enables fast prototyping for visualisation such as volume rendering, multi-planar reformatting, flow visualisation, and advanced interaction such as three-dimensional cropping, windowing, measurement, haptic feedback, automatic image orientation, and multi-user interactions. The available features were evaluated by imaging and non-imaging clinicians, showing that the virtual reality system can help improve understanding and communication of the three-dimensional echocardiography imaging and potentially benefit congenital heart disease treatment.

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