scholarly journals Role of a schematic figure of echocardiography in congenital heart diseasessurgery: which method of reporting do you prefer?

Congenital structural heart diseases are the most commonly reported fatal anomalies in children. These anatomical disorders often can be corrected surgically .Today, echocardiography is the best and most important diagnostic technique for anatomical abnormalities in the heart. In this method, by using the ultrasound waves (sonography), anatomical details, and hemodynamic examination of the heart can be determined . Most pediatric cardiologists provide echocardiographic reports in the form of handwriting or typed text. This method of reporting is sometimes unable to understand the structural anomalies precisely and accurately for the final decision. Nowadays, 2-dimensional echocardiography is acceptable for the diagnosis of some structural heart abnormalities accurately. Even there is no necessary to angiography for surgical planning .2 But sometimes lack matching echocardiographic findings with surgical reports, it seems that adding a schematic figure base on echocardiography findings from the viewpoint of pediatric cardiologist will be the helper to the congenital cardiac surgeon. This proposed method of reporting will lead to the promotion of surgical treatment in congenital heart diseases. The history of the schematic picture in the anatomical textbook for a better understanding of subjects and also diseases has been shown previously by famous painters like Leonardo Davin chi. This suggestion shows that mapping can be viewed as a common language for better understanding of echocardiographic reports and more adaptation between comments of a pediatric cardiologist with designing congenital cardiac surgeon for more precise and complete treatment.

Author(s):  
Lindsay A. Smith ◽  
Mark K. Friedberg ◽  
Luc Mertens

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).


ESC CardioMed ◽  
2018 ◽  
pp. 438-441
Author(s):  
Francesco F. Faletra ◽  
Laura A. Leo ◽  
Tiziano Moccetti ◽  
Mark J. Monaghan

Three-dimensional echocardiography (3DE) certainly represents one of the major innovations of the last decades. Nowadays, 3DE has achieved a well-established role in many fields of cardiovascular diseases. This chapter discusses the contribution of 3DE towards a more precise quantitative assessment of cardiac chambers, in refining the diagnosis of structural heart diseases, and in guiding catheter-based structural heart disease procedures. The last section discusses the evolving role of a novel imaging system that specifically fuses fluoroscopy and two/three-dimensional echocardiography on one screen and represents a new exciting approach to image guidance for structural heart disease interventions.


Author(s):  
Francesco F. Faletra ◽  
Laura A. Leo ◽  
Tiziano Moccetti ◽  
Mark J. Monaghan

Three-dimensional echocardiography (3DE) certainly represents one of the major innovations of the last decades. Nowadays, 3DE has achieved a well-established role in many fields of cardiovascular diseases. This chapter discusses the contribution of 3DE towards a more precise quantitative assessment of cardiac chambers, in refining the diagnosis of structural heart diseases, and in guiding catheter-based structural heart disease procedures. The last section discusses the evolving role of a novel imaging system that specifically fuses fluoroscopy and two/three-dimensional echocardiography on one screen and represents a new exciting approach to image guidance for structural heart disease interventions.


EP Europace ◽  
2021 ◽  
Author(s):  
John Lee ◽  
Oluwaseun Adeola ◽  
Hasan Garan ◽  
William G Stevenson ◽  
Hirad Yarmohammadi

Abstract Ventricular arrhythmias (VAs) can originate from different anatomical locations of the right ventricle. Ventricular arrhythmias originating from right ventricle have unique electrocardiographic (ECG) characteristics that can be utilized to localize the origin of the arrhythmia. This is crucial in pre-procedural planning particularly for ablation treatments. Moreover, non-ischaemic structural heart diseases, such as infiltrative and congenital heart diseases, are associated with the VAs that exhibit particular ECG findings. This article comprehensively reviews discriminatory ECG characteristics of VAs in the right ventricle with and without structural right ventricular diseases.


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