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

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

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.

Methods:

Cross-sectional and 3D MPR echocardiography was performed in 300 patients with congenitally malformed hearts.

Results:

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.

Conclusions:

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. We recommend the use of the 3D format with MPR for patients with complex congenital cardiac disease.
0003-4975
875-881
Bharucha, Tara
d8f5d152-31e0-49e7-99ac-5fdead9afef8
Roman, Kevin S.
e33492e6-b879-42bf-a835-158d7ac83603
Anderson, Robert H.
0bfb7485-0146-471b-a3b0-ac63678b9778
Vettukattil, Joseph J.
6733316f-b576-4864-b41f-5da015f78887
Bharucha, Tara
d8f5d152-31e0-49e7-99ac-5fdead9afef8
Roman, Kevin S.
e33492e6-b879-42bf-a835-158d7ac83603
Anderson, Robert H.
0bfb7485-0146-471b-a3b0-ac63678b9778
Vettukattil, Joseph J.
6733316f-b576-4864-b41f-5da015f78887

Bharucha, Tara, Roman, Kevin S., Anderson, Robert H. and Vettukattil, Joseph J. (2008) Impact of multiplanar review of three-dimensional echocardiographic data on management of congenital heart disease. The Annals of Thoracic Surgery, 86 (3), 875-881. (doi:10.1016/j.athoracsur.2008.04.106).

Record type: Article

Abstract

Background:

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.

Methods:

Cross-sectional and 3D MPR echocardiography was performed in 300 patients with congenitally malformed hearts.

Results:

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.

Conclusions:

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. We recommend the use of the 3D format with MPR for patients with complex congenital cardiac disease.

Full text not available from this repository.

More information

Published date: 2008

Identifiers

Local EPrints ID: 152797
URI: https://eprints.soton.ac.uk/id/eprint/152797
ISSN: 0003-4975
PURE UUID: 2c164e62-9668-409f-85e0-cc030e91eb31

Catalogue record

Date deposited: 17 May 2010 09:09
Last modified: 16 Jul 2019 23:59

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