Document Detail


Three-dimensional echocardiographic assessment of right ventricular volume and function in adult patients with congenital heart disease: comparison with magnetic resonance imaging.
MedLine Citation:
PMID:  19962272     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate the accuracy of three-dimensional (3D) ultrasound compared with the standard magnetic resonance imaging method in determining right ventricular (RV) volumes and function in adult patients with congenital heart disease and chronic, severe pulmonary regurgitation (PR). METHODS: Twenty-five patients with severe PR secondary to either pulmonary valvotomy or tetralogy of Fallot repair were evaluated using 3D ultrasound and MRI. RESULTS: The mean RV ejection fractions were 42 +/- 8% on 3D ultrasound and 44 +/- 7% on MRI (r = 0.89, P < .0001). The mean end-diastolic volumes were 249 +/- 66 and 274 +/- 82 mL and the mean end-systolic volumes 147 +/- 50 and 159 +/- 60 mL on 3D ultrasound and MRI, respectively. Similarly, there were strong correlations of both end-diastolic volume and end-systolic volume on 3D ultrasound and MRI (r = 0.88 and r = 0.89, respectively). CONCLUSIONS: Three-dimensional ultrasound was comparable with MRI in determining RV size and function in most patients with complex congenital heart disease. It will be important to study 3D US in a larger population of patients with TOF, which will be possible only through multi-center collaboration.
Authors:
Jasmine Grewal; David Majdalany; Imran Syed; Patricia Pellikka; Carole A Warnes
Publication Detail:
Type:  Comparative Study; Evaluation Studies; Journal Article     Date:  2009-12-03
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  23     ISSN:  1097-6795     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-02-15     Completed Date:  2010-05-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  127-33     Citation Subset:  IM    
Copyright Information:
Copyright 2010 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.
Affiliation:
Mayo Clinic, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Computer Systems
Echocardiography, Three-Dimensional / standards*
Female
Heart Defects, Congenital / complications*,  diagnosis*
Heart Ventricles / pathology*,  ultrasonography*
Humans
Male
Middle Aged
Organ Size
Reference Values
Reproducibility of Results
Sensitivity and Specificity
Ventricular Dysfunction, Right / diagnosis*,  etiology*
Comments/Corrections
Comment In:
J Am Soc Echocardiogr. 2010 Feb;23(2):141-3   [PMID:  20152694 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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