Document Detail


Multiplanar review analysis of three-dimensional echocardiographic datasets gives new insights into the morphology of subaortic stenosis.
MedLine Citation:
PMID:  18296406     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: Associated left ventricular structures may play a role in progression and recurrence of discrete subaortic stenosis. The availability of a new 3D echocardiography tool, multiplanar review (MPR), allows comprehensive analysis of datasets in infinite planes, and detailed examination of anatomy. We sought to evaluate the role of MPR in defining the morphology of subaortic stenosis. METHODS: Consecutive patients underwent detailed 2 and 3D echocardiographic examination using MPR. RESULTS: Sixteen patients aged 0.7-15.9 years (median 4.57) with diagnosis as follows: isolated subaortic stenosis in nine, additional defects in seven (coarctation of aorta, VSD, mitral, or aortic stenosis). Position and extent of subaortic stenosis was clearly described by multiplanar review in all patients. Additional MPR findings were: abnormalities of mitral valve leaflet or chordal apparatus attachments (14 patients), abnormal ventricular muscle band (11), abnormal increased aorto-mitral separation (two). The aortoseptal angle was significantly decreased in subaortic stenosis, mean 141 +/- 12 degrees , vs. normal subjects, mean 153 +/- 6 degrees , P = 0.02. Surgical findings correlated well with MPR findings. CONCLUSIONS: MPR analysis of 3D datasets is a sensitive and accurate mode for delineation of morphological details of discrete subaortic stenosis, providing additional information to 2D echocardiography.
Authors:
Tara Bharucha; Siew Yen Ho; Joseph J Vettukattil
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Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2008-02-20
Journal Detail:
Title:  European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology     Volume:  9     ISSN:  1532-2114     ISO Abbreviation:  Eur J Echocardiogr     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-21     Completed Date:  2008-12-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100890618     Medline TA:  Eur J Echocardiogr     Country:  England    
Other Details:
Languages:  eng     Pagination:  614-20     Citation Subset:  IM    
Affiliation:
Department of Paediatric Cardiology, Wessex Congenital Cardiac Centre, Southampton University NHS Trust, Tremona Road, Southampton SO16 6YD, UK.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aortic Coarctation / pathology,  ultrasonography
Aortic Stenosis, Subvalvular / pathology*,  ultrasonography*
Child
Child, Preschool
Discrete Subaortic Stenosis / pathology,  ultrasonography
Echocardiography, Three-Dimensional*
Female
Heart Septal Defects, Ventricular / ultrasonography
Humans
Infant
Male
Mitral Valve / pathology,  ultrasonography

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