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Comprehensive echocardiographic imaging of atrioventricular valves in children with atrioventricular septal defect : Accuracy of 2D and 3D imaging and reasons for disagreement

Hakacova, Nina LU ; Higgins, Thomas ; Malm, Torsten LU ; Wierup, Per LU ; Maynard, Charles and Ramgren Johansson, Jens (2019) In Anatolian journal of cardiology 21(4). p.214-221
Abstract

OBJECTIVE: To compare the accuracy and reasons for disagreement of two-dimensional (2D) and three-dimensional (3D) echocardiography findings in the assessment of the atrioventricular valve complex in patients with atrioventricular septal defect. METHODS: A total of 20 children (mean age 8 months) with atrioventricular septal defect were enrolled prospectively into this study. The accuracy of and the reasons for disagreement in the assessment of the atrioventricular valve features were analyzed between 2D and 3D echocardiography and surgical findings. RESULTS: We found that in assessing the Rastelli type and the extension of the inferior leaflet into the right ventricle, 3D echocardiography was more accurate compared to 2D... (More)

OBJECTIVE: To compare the accuracy and reasons for disagreement of two-dimensional (2D) and three-dimensional (3D) echocardiography findings in the assessment of the atrioventricular valve complex in patients with atrioventricular septal defect. METHODS: A total of 20 children (mean age 8 months) with atrioventricular septal defect were enrolled prospectively into this study. The accuracy of and the reasons for disagreement in the assessment of the atrioventricular valve features were analyzed between 2D and 3D echocardiography and surgical findings. RESULTS: We found that in assessing the Rastelli type and the extension of the inferior leaflet into the right ventricle, 3D echocardiography was more accurate compared to 2D echocardiography. In all other features, 2D and 3D echocardiography showed similar accuracy. A significant reason for inaccuracy by both echo modalities was that the technique itself could not visualize the feature, although the image quality was considered to be adequate. In most cases, where it was not possible to visualize the atrioventricular feature by 2D, it was possible by 3D, and vice versa. CONCLUSION: The accuracy of 2D and 3D echocardiography and understanding the potential reasons for disagreements in assessing the atrioventricular valve complex with 2D and 3D can guide the use of those two techniques when combining them in the clinical practice.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Anatolian journal of cardiology
volume
21
issue
4
pages
8 pages
publisher
Kare Publishing
external identifiers
  • scopus:85064005060
  • pmid:30930449
DOI
10.14744/AnatolJCardiol.2019.49376
language
English
LU publication?
yes
id
31ccf0fe-aa42-404f-8ab7-2a1a87f4a1c3
date added to LUP
2019-04-26 13:45:16
date last changed
2020-01-13 01:40:29
@article{31ccf0fe-aa42-404f-8ab7-2a1a87f4a1c3,
  abstract     = {<p>OBJECTIVE: To compare the accuracy and reasons for disagreement of two-dimensional (2D) and three-dimensional (3D) echocardiography findings in the assessment of the atrioventricular valve complex in patients with atrioventricular septal defect. METHODS: A total of 20 children (mean age 8 months) with atrioventricular septal defect were enrolled prospectively into this study. The accuracy of and the reasons for disagreement in the assessment of the atrioventricular valve features were analyzed between 2D and 3D echocardiography and surgical findings. RESULTS: We found that in assessing the Rastelli type and the extension of the inferior leaflet into the right ventricle, 3D echocardiography was more accurate compared to 2D echocardiography. In all other features, 2D and 3D echocardiography showed similar accuracy. A significant reason for inaccuracy by both echo modalities was that the technique itself could not visualize the feature, although the image quality was considered to be adequate. In most cases, where it was not possible to visualize the atrioventricular feature by 2D, it was possible by 3D, and vice versa. CONCLUSION: The accuracy of 2D and 3D echocardiography and understanding the potential reasons for disagreements in assessing the atrioventricular valve complex with 2D and 3D can guide the use of those two techniques when combining them in the clinical practice.</p>},
  author       = {Hakacova, Nina and Higgins, Thomas and Malm, Torsten and Wierup, Per and Maynard, Charles and Ramgren Johansson, Jens},
  language     = {eng},
  number       = {4},
  pages        = {214--221},
  publisher    = {Kare Publishing},
  series       = {Anatolian journal of cardiology},
  title        = {Comprehensive echocardiographic imaging of atrioventricular valves in children with atrioventricular septal defect : Accuracy of 2D and 3D imaging and reasons for disagreement},
  url          = {http://dx.doi.org/10.14744/AnatolJCardiol.2019.49376},
  doi          = {10.14744/AnatolJCardiol.2019.49376},
  volume       = {21},
  year         = {2019},
}