Assessment of pulmonary valve and right ventricular outflow tract with real-time three-dimensional echocardiography

  • Ashraf M. Anwar
  • Osama Soliman
  • Annemien E. van den. Bosch
  • Jackie S. McGhie
  • Marcel L. Geleijnse
  • Folkert J. ten. Cate
  • Folkert J. Meijboom
Article

DOI: 10.1007/s10554-006-9142-3

Cite this article as:
Anwar, A.M., Soliman, O., Bosch, A.E... et al. Int J Cardiovasc Imaging (2007) 23: 167. doi:10.1007/s10554-006-9142-3

Abstract

Aim

Assessment of pulmonary valve (PV) and right ventricular outflow tract (RVOT) using real-time 3-dimensional echocardiography (RT3DE).

Methods

Two-dimensional echocardiography (2DE) and RT3DE were performed in 50 patients with congenital heart disease (mean age 32 ± 9.5 years, 60% female). Measurements were obtained at parasternal views: short axis (PSAX) at aortic valve level and long axis (PLAX) with superior tilting. RT3DE visualization was evaluated by 4-point score (1: not visualized, 2: inadequate, 3: sufficient, and 4: excellent). Diameters of PV annulus (PVAD), and RVOT (RVOTD) were measured by both 2DE and RT3DE, while areas (PVAA) and (RVOTA) by RT3DE only.

Results

By RT3DE, PV was visualized sufficiently in 68% and RVOT excellently in 40%. PVAD and PVAA were measured in 88%. RVOTD and PVAD by 2DE at PLAX were significantly higher than PSAX (P < 0.0001) and lower than that by RT3DE (P < 0.001).

Conclusion

RT3DE helps in RVOT and PV assessment adding more details supplemental to 2DE.

Keywords

Real time 3-dimensional echocardiography (RT3DE) Right ventricular outflow tract (RVOT) Pulmonary valve (PV) 

Copyright information

© Springer Science+Business Media B.V. 2006

Authors and Affiliations

  • Ashraf M. Anwar
    • 2
  • Osama Soliman
    • 2
  • Annemien E. van den. Bosch
    • 1
  • Jackie S. McGhie
    • 1
  • Marcel L. Geleijnse
    • 1
  • Folkert J. ten. Cate
    • 1
  • Folkert J. Meijboom
    • 1
  1. 1.Department of CardiologyThoraxcenter, Erasmus MCRotterdamThe Netherlands
  2. 2.Department of CardiologyAl-Husein University hospital, Al-Azhar UniversityCairoEgypt