Three-Dimensional Echocardiographic En Face Views of Ventricular Septal Defects: Feasibility, Accuracy, Imaging Protocols and Reference Image Collection

Cossor, Waseem; Cui, Vivian W.; Roberson, David A.

doi:10.1016/j.echo.2015.05.014

Cited by 24 publications

(17 citation statements)

References 34 publications

(32 reference statements)

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“…Indeed, VSD area and body surface area ratio has gained traction as a more encompassing consideration of disease severity. 40 Additionally, the ability of 3DE to reliably establish en face views of muscular, perimembranous, malaligned, inlet, outlet, and acquired VSDs has been supported clinically, 41 supporting that area measurements are a feasible evaluative parameter and quantitative indicator of size. As three-dimensional technology improves and becomes more available, its potential to provide more detailed evaluations should be embraced.…”

Section: Discussionmentioning

confidence: 95%

Quantification of the area and shunt volume of multiple, circular, and noncircular ventricular septal defects: A 2D/3D echocardiography comparison and real time 3D color Doppler feasibility determination study

et al. 2017

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Background Quantification of defect size and shunt flow is an important aspect of ventricular septal defect (VSD) evaluation. This study compared three‐dimensional echocardiography (3DE) with the current clinical standard two‐dimensional echocardiography (2DE) for quantifying defect area and tested the feasibility of real time 3D color Doppler echocardiography (RT3D‐CDE) for quantifying shunt volume of irregular shaped and multiple VSDs. Methods Latex balloons were sutured into the ventricles of 32 freshly harvested porcine hearts and were connected with tubing placed in septal perforations. Tubing was varied in area (0.13–5.22 cm²), number (1–3), and shape (circle, oval, crescent, triangle). A pulsatile pump was used to pump “blood” through the VSD (LV to RV) at stroke volumes of 30–70 mL with a stroke rate of 60 bpm. Two‐dimensional echocardiography (2DE), 3DE, and RT3D‐CDE images were acquired from the right side of the phantom. Results For circular VSDs, both 2DE and 3DE area measurements were consistent with the actual areas (R² = 0.98 vs 0.99). For noncircular/multiple VSDs, 3DE correlated with the actual area more closely than 2DE (R² = 0.99 vs 0.44). Shunt volumes obtained using RT3D‐CDE positively correlated with pumped stroke volumes (R² = 0.96). Conclusions Three‐dimensional echocardiography (3DE) is a feasible method for determining VSD area and is more accurate than 2DE for evaluating the area of multiple or noncircular VSDs. Real‐time 3D color Doppler echocardiography (RT3D‐CDE) is a feasible method for quantifying the shunt volume of multiple or noncircular VSDs.

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Section: Discussionmentioning

confidence: 95%

Quantification of the area and shunt volume of multiple, circular, and noncircular ventricular septal defects: A 2D/3D echocardiography comparison and real time 3D color Doppler feasibility determination study

et al. 2017

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“…High feasibility and accuracy of 3D TTE to assess VSDs have been recently reported and confirmed in our work. 15 In this study, we used a single-beat 3D acquisition to avoid stitching artifacts secondary to respiration, probe translation, and heart motion variation, which are difficult to avoid in young children. Image quality and resolution were acceptable to analyze VSDs.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Ventricular Septal Defect Size and Morphology by Three-Dimensional Transthoracic Echocardiography

Hadeed¹,

Hascoët

Amadieu³

et al. 2016

Journal of the American Society of Echocardiography

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“…According to previous reports, TEE has an advantage over TTE in the measurement of the rims and dimensions of VSDs. [18,19] We recommend TEE evaluation under general anesthesia before the procedure to ensure that the patient meets the inclusion criteria. It has been shown that TEE can accurately recognize the morphological variations of VSD.…”

Section: Discussionmentioning

confidence: 99%

Transthoracic closure of ventricular septal defects guided by transesophageal echocardiography

Huang

Kim

et al. 2020

Turk Gogus Kalp Dama

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Bu çalışmada tamamen transözofageal ekokardiyografi eşliğinde ventriküler septal defektlerin transtorasik olarak kapatılmasının etkinliği ve güvenliliği değerlendirildi. Ça lış ma pla nı: Nisan 2017-Kasım 2018 tarihleri arasında merkezimizde ventriküler septal defektlerin transtorasik olarak kapatıldığı toplam 119 hasta (62 erkek, 57 kadın; ort. yaş 2.1±5.2 yıl; dağılım, 11 ay-50 yıl) çalışmaya alındı. Hastaların tümü ventriküler septal defektlerin çapı ve morfolojik özellikleri açısından transtorasik ekokardiyografi ile değerlendirildi. İşlem sırasında transtorasik ekokardiyografi oklüder yerleştirilmesi için kullanılan tek kılavuz araç idi. Bul gu lar: Hastaların 116'sında transtorasik cihaz kapama işlemi başarılı idi. Bir hastada yeni başlangıçlı aort yetmezliği ve bir diğer hastada cihaz yerleştirildikten sonra şiddetli aritmiler nedeniyle olmak üzere, iki hastada cerrahi onarıma geçildi. Bir hastaya hastane yatışı sırasında oklüder migrasyonu nedeniyle ikinci bir ameliyat yapıldı. İlk girişimde 106 ventriküler septal defekt oklüderi doğru bir şekilde yerleştirildi. On hastada transtorasik ekokardiyografide güvenli olmayan yerleşim veya önemli düzeyde rezidüel şant izlendi. İlk takılan cihaz asimetrik cihaz veya daha kapsamlı bir oklüder ile değiştirildi ve nihayetinde memnun edici sonuçlar alındı. Takip sırasında yeni başlangıçlı aort yetmezliği, rezidüel şant, tam kalp bloku veya cihazın yerinden çıkması gibi komplikasyonlar gözlenmedi. So nuç: Ventriküler septal defektlerin tamamen transtorasik ekokardiyografi eşliğinde transtorasik olarak kapatılması güvenli ve etkili bir yöntemdir.

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Three-Dimensional Echocardiographic En Face Views of Ventricular Septal Defects: Feasibility, Accuracy, Imaging Protocols and Reference Image Collection

Cited by 24 publications

References 34 publications

Quantification of the area and shunt volume of multiple, circular, and noncircular ventricular septal defects: A 2D/3D echocardiography comparison and real time 3D color Doppler feasibility determination study

Quantification of the area and shunt volume of multiple, circular, and noncircular ventricular septal defects: A 2D/3D echocardiography comparison and real time 3D color Doppler feasibility determination study

Assessment of Ventricular Septal Defect Size and Morphology by Three-Dimensional Transthoracic Echocardiography

Transthoracic closure of ventricular septal defects guided by transesophageal echocardiography

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