Abstract
OBJECTIVE: The aim of this study was to describe a quantitative evaluation by real-time 3-dimensional (3D) echocardiography (RT-3DE) of atrial septal defect (ASD) and atrial septum that is important for patient selection for transcatheter closure, and to assess the reliability of RT-3DE findings compared with operation.
METHODS: Forty-five patients, who were scheduled for surgical or transcatheter closure of an ASD, were included in the study.
RESULTS: In 43 patients (96%), 3D reconstructions allowed optimal imaging of the ASD. The correlations between the ASD maximal diameter by RT-3DE and operation or balloon sizing were excellent (r > 0.95). All surrounding rims of the atrial septum could be assessed on 3D reconstruction; except for the aortic rim, a cross-sectional reconstruction was created mimicking the transesophageal echocardiographic cross section (r > 0.92).
CONCLUSION: RT-3DE allows accurate determination of ASD location, ASD size, and surrounding tissue of the atrial septum, and might replace transesophageal echocardiography for patient selection for surgical or transcatheter closure.
| Original language | English |
|---|---|
| Pages (from-to) | 815-21 |
| Number of pages | 7 |
| Journal | Journal of the American Society of Echocardiography |
| Volume | 19 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Jun 2006 |
Keywords
- Child, Preschool
- Computer Systems
- Echocardiography, Three-Dimensional
- Female
- Heart Septal Defects, Atrial
- Humans
- Image Enhancement
- Image Interpretation, Computer-Assisted
- Male
- Middle Aged
- Prognosis
- Reproducibility of Results
- Sensitivity and Specificity
- Severity of Illness Index