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

Abstract

Our study demonstrates that live 3DE, easily performed at the bedside, provides incremental information on patients with a variety of congenital heart lesions. In the clinical scenario, it clarifies the pathology in all its dimensions, particularly in complex lesions with the incremental information having impact on therapeutic decision making.

Transcranial Doppler and Transesophageal Echocardiography: Comparison of Both Techniques and Prospective Clinical Relevance of Transcranial Doppler in Patent Foramen Ovale Detection

“…Three-dimensional echocardiography would appear to be superior to 2-dimensional echocardiography in the measurement of atrial septal defects. 41 cTCD could provide significant information in those situations where a semiquantification of RLS at rest is required. Apart from patients with stroke where RLS during normal breathing could enhance the clinical relevance of PFO, thus explaining the possible occurrence of paradoxical embolism during normal daily activities, discovering a shunt at rest may be important even in other conditions in which paradoxical embolization may play a role, such as during neurosurgical procedures in sitting position, scuba diving, or in ''economy-class'' 42 or platypnea-orthodeoxya syndromes.…”

Evolving Role of Three-Dimensional Echocardiography in the Cardiac Surgical Patient

“…RT-3D TTE and TEE are currently available for visualization of abnormal morphology, assessment of chamber size and ventricular function, and image-guided interventions in the congenital heart disease population [51,[64][65][66][67]. RT-3D TTE provided superior detail of the mural leaflet and anterior commissural abnormalities for the left atrioventricular valve compared with 2D echocardiography.…”

Insights Gained From Three-Dimensional Imaging Modalities for Closure of Ventricular Septal Defects

“…Similarly, Cheng et al 47 and Mehmood et al 48 in 38 patients and 10 patients, respectively, demonstrated that sizing of VSDs using 3DE was more highly correlated with surgical findings than the diameter measured by 2DE and accurately defined VSD location, size, and surrounding anatomy in all patients. In complex lesions, De Castro et al 49 reported that the use of real-time 3DE provided incremental information to 2DE in a variety of complex congenital heart lesions which affected therapeutic decision making in 82 patients.…”