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Assessment of atrial septum morphology by live three-dimensional echocardiography

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Summary

To evaluate the morphology of atrial septum by the live three-dimensional echocardiography (L3DE) and its value of clinical application, L3DE was performed in 62 subjects to observe the morphological characteristics and dynamic change of the overall anatomic structure of atrial septum. The study examined 49 patients with atrial septal defect (ASD), including 3 patients with atrial septal aneursym, and 10 healthy subjects. ASD in the 35 patients was surgically confirmed. The maximal diameters of ASD were measured and the percentages of area change were calculated. The parameters derived from L3DE were compared with intraoperative measurements. The results showed that L3DE could directly and clearly display the morphological features of overall anatomic structure of normal atrial septum, repaired and artificially-occluded atrial septum, atrial septal aneurysm. The defect area in ASD patients changed significantly during cardiac cycle, which reached a maximum at end-systole and a minimum at end-diastole, with a mean change percentage of 46.6%, ranging from 14.8% to 73.4%. The sizes obtained from L3DE bore an excellent correlation with intraoperative findings (r=0.90). It is concluded that L3DE can clearly display the overall morphological features and dynamic change of atrial septum and measure the size of ASD area accurately, which is important in the decision to choose therapeutic protocols.

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References

  1. Pepi M, Tamborini G, Pontone G L et al. Initial experience with a new on-line transthoracic three-dimensional technique: assessment of feasibility and of diagnostic potential. Ital Heart J, 2003,4(8): 544–550

    PubMed  Google Scholar 

  2. Faletra F, Scarpini S, Moreo A et al. Color Doppler echocardiographic assessment of atrial septal defect size: correlation with surgical measurements. J Am Soc Echocardiogr, 1991,4(5):429–434

    CAS  PubMed  Google Scholar 

  3. Takuma S, Ota T, Muro T. Assessment of left ventricular function by real-time three-dimensional echocardiography compared with conventional noninvasive methods. J Am Soc Echocardiogr, 2001,14(4):275–284

    Article  CAS  PubMed  Google Scholar 

  4. Van den Bosch A E, Robbers-Visser D, Krenning B J et al. Real-time transthoracic three-dimensional echocardiographic assessment of left ventricular volume and ejection fraction in congenital heart disease. J Am Soc Echocardiogr, 2006,19(1):1–6

    Article  PubMed  Google Scholar 

  5. Corsi C, Lang R M, Veronesi F et al. Volumetric quantification of global and regional left ventricular function from real-time three-dimensional echocardiographic images. Circulation, 2005,112(8):1161–1170

    Article  PubMed  Google Scholar 

  6. Xie M X, Wang X F, Cheng T O et al. Comparison of accuracy of mitral valve area in mitral stenosis by real-time, three-dimensional echocardiography versus two-dimensional echocardiography versus Doppler pressure half-time. Am J Cardiol, 2005,95(12):1496–1499

    Article  PubMed  Google Scholar 

  7. Wang X F, Deng Y B, Nanda N C et al. Live three-dimensional echocardiography: imaging principles and clinical application. Echocardiography, 2003,20(7):593–604

    Article  PubMed  Google Scholar 

  8. Dall’Agata A, McGhie J, Taams M A et al. Secundum atrial septal defect is a dynamic three dimensional entity. Am Heart J, 1999,137(6):1075–1081

    Article  PubMed  Google Scholar 

  9. Sadler T W. Langman’s Medical Embryology. Baltimore: Williams & Wilkins, 1995.191–197

    Google Scholar 

  10. Acar P, Roux D, Dulac Y et al. Transthoracic three-dimensional echocardiography prior to closure of atrial septal defects in children. Cardiol Young, 2003,13(1):58–63

    Article  PubMed  Google Scholar 

  11. Jan S L, Hwang B, Lee P C et al. Intracardiac ultrasound assessment of atrial septal defect: comparison with transthoracic echocardiographic, angiocardiographic, and balloon-sizing measurements. Cardiovasc Intervent Radiol, 2001,24(2):84–89

    Article  CAS  PubMed  Google Scholar 

  12. Ewert P, Berger F, Daehnert I et al. Transcatheter closure of atrial septal defects without fluoroscopy: feasibility of a new method. Circulation, 2000,101(8):847–849

    CAS  PubMed  Google Scholar 

  13. Abdel-Massih T, Dulac Y, Taktak A et al. Assessment of atrial septal defect size with 3D-transesophageal echocardiography: comparison with balloon method. Echocardiography, 2005,22(2):121–127

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Ultrasonography, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China

    Fang Lingyun  (方凌云), Xie Mingxing  (谢明星), Wang Xinfang  (王新房), Pu Zhaoxia  (蒲朝霞), Yang Yali  (杨亚利), He Lin  (贺 林) & Zhou Xiaoyan  (周小燕)

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  1. Fang Lingyun  (方凌云)
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  2. Xie Mingxing  (谢明星)
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  3. Wang Xinfang  (王新房)
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  4. Pu Zhaoxia  (蒲朝霞)
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  5. Yang Yali  (杨亚利)
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  6. He Lin  (贺 林)
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  7. Zhou Xiaoyan  (周小燕)
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Fang, L., Xie, M., Wang, X. et al. Assessment of atrial septum morphology by live three-dimensional echocardiography. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 27, 687–690 (2007). https://doi.org/10.1007/s11596-007-0618-8

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  • DOI: https://doi.org/10.1007/s11596-007-0618-8

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