The Evolution of Longitudinal Strain Across Various Univentricular Morphologies Prior to Superior Cavopulmonary Anastomosis

Buddhavarapu, Amulya; Chauhan, Dhaval; Erickson, Lori; Elliot, Melissa D.; Warren, Matthew; Forsha, Daniel

doi:10.1016/j.echo.2023.04.018

Cited by 2 publications

(1 citation statement)

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“…When the GLS is evaluated serially in the follow-up of children with hypoplastic left heart syndrome, it has been demonstrated to predict ventricular dysfunction leading to need for transplantation or death ( 87 ). A recent study ( 90 ) demonstrated the different value of longitudinal strain related to the different univentricular morphology. Single right heart has shown lower longitudinal strain than biventricular and single left heart morphology, underscoring a worse morbidity associated with this subgroup.…”

Section: Univentricular Heartmentioning

confidence: 99%

The mechanics of congenital heart disease: from a morphological trait to the functional echocardiographic evaluation

Avesani,

Sabatino,

Borrelli

et al. 2024

Front. Cardiovasc. Med.

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Advances in pediatric cardiac surgery have resulted in a recent growing epidemic of children and young adults with congenital heart diseases (CHDs). In these patients, congenital defects themselves, surgical operations and remaining lesions may alter cardiac anatomy and impact the mechanical performance of both ventricles. Cardiac function significantly influences outcomes in CHDs, necessitating regular patient follow-up to detect clinical changes and relevant risk factors. Echocardiography remains the primary imaging method for CHDs, but clinicians must understand patients' unique anatomies as different CHDs exhibit distinct anatomical characteristics affecting cardiac mechanics. Additionally, the use of myocardial deformation imaging and 3D echocardiography has gained popularity for enhanced assessment of cardiac function and anatomy. This paper discusses the role of echocardiography in evaluating cardiac mechanics in most significant CHDs, particularly its ability to accommodate and interpret the inherent anatomical substrate in these conditions.

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Section: Univentricular Heartmentioning

confidence: 99%