Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-10T07:14:31.143Z Has data issue: false hasContentIssue false
  • English
  • Français

Transesophageal 3-dimensional versus cross-sectional echocardiographic assessment of the volume of the right ventricle in children with atrial septal defects

Published online by Cambridge University Press:  22 March 2006

Andreas Heusch ,
Wolfgang Lawrenz ,
Margarete Olivier  and
Klaus Georg Schmidt
Andreas Heusch
Affiliation:
Department of Paediatric Cardiology/Pneumology, Heinrich-Heine-University, Düsseldorf, Germany
Wolfgang Lawrenz
Affiliation:
Department of Paediatric Cardiology/Pneumology, Heinrich-Heine-University, Düsseldorf, Germany
Margarete Olivier
Affiliation:
Department of Paediatric Cardiology/Pneumology, Heinrich-Heine-University, Düsseldorf, Germany
Klaus Georg Schmidt
Affiliation:
Department of Paediatric Cardiology/Pneumology, Heinrich-Heine-University, Düsseldorf, Germany
Get access Rights & Permissions [Opens in a new window]

Abstract

The study was designed to investigate the value of assessing right ventricular volume by transoesophageal 3-dimensional echocardiographic techniques compared with the standard transoesophageal cross-sectional approach. Echocardiography was performed using a multiplane probe. The 3-dimensional data sets were reconstructed after electrocardiographic and respiratory gated scanning, calculating the 3-dimensional volumes by the method of multiple slices. Cross-sectional determination of volume was performed using a modified area-length method, and the biplane multiple slice method following Simpson's rule. We studied 15 patients, with ages ranging from 6 to19 years, and body surface areas from 1.1 to 1.67 square metres. It proved possible top determine volumes with both methods in all patients. As determined by 3-dimensional echo, volumes were greater, being 113.0 plus or minus 61.2 millilitres at end-systole, and 61.7 plus or minus 36 millilitres at end-diastole, than those calculated from cross-sectional images using Simpson's rule, which gave values of 92.5 plus or minus 52 millilitres, and 41.3 plus or minus 22 millilitres. Compared to the values obtained using the area-length method, at 116.9 plus or minus 61 millilitres, and 60.3 plus or minus 30 millilitres, there were only small differences at end-systole, with a bias of 1.4, and limits of agreement of 20.9 millilitres, as well as at end-diastole, when bias was minus 3.8, and limits of agreement 22.3 millilitres. Correlation was also good, with coefficients of 0.93, and 0.91, respectively. The mean difference between the volumes by 3-dimensional acquisition and the multiple slice method was larger, with higher limits of agreement, at end-diastole showing bias of 20.5, and limits of agreement of 30.1 millilitres, and for end-systole bias of 20.4, and limits of agreement of 32.2 millilitres. Our data confirm that cross-sectional echocardiographic assessment of right ventricular volumes in children with atrial septal defects is quick, and reasonably reliable in clinical practice when employing the area-length method.

Keywords

Deficient atrial septationcongenital heart diseasenon-invasive investigation
Type
Original Article
Information
Cardiology in the Young , Volume 16 , Issue 2 , April 2006 , pp. 135 - 140
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Rigolin VH, Robiolio PA, Wilson JS, Harrison JK, Bashore TM. The forgotten chamber: the importance of the right ventricle. Cath Cardiovasc Diagn 1995; 35: 18–28.Google Scholar
Heusch A, Rübo J, Krogmann ON, Bourgeois M. Volumetric analysis of right ventricular volume in children with congenital heart disease using three-dimensional echocardiography. Cardiol Young 1999; 9: 577–584.Google Scholar
Buck T, Schön D, Baumgart R, et al. Tomographic left ventricular volume determination in the presence of aneurysm by three dimensional echocardiographic imaging. J Am Soc Echocardiogr 1996; 9: 488–500.Google Scholar
Sandler H, Alderman E. Determination of left ventricular size and shape. Circulation Res 1974; 34: 1.Google Scholar
Gibson TC, Miller S, Aretz T, Hardin NJ, Weyman AE. Methods for estimating right ventricular volume by planes applicable to cross-sectional echocardiography: Correlation with angiographic formulas. Am J Cardiol 1985; 55: 1584–1588.Google Scholar
Levine AE, Gibson TC, Aretz T, et al. Echocardiographic measurements of right ventricular volume. Circulation 1984; 69: 497–505.Google Scholar
Altman DG, Bland JM. Measurement in medicine: the analysis of method comparison studies. Statistician 1983; 32: 307–317.Google Scholar
Harter HL. The method of least squares and some alternatives. Int Stat Rev 1974; 42: 147–174.Google Scholar
Jiang L, Siu SC, Handschumacher MD, et al. Three dimensional echocardiography; In vivo validation for right ventricular volume and function. Circulation 1994; 89: 2342–2350.Google Scholar
Vogel M, Gutberlet N, Dittrich M, Hosten N, Lange PE. Comparison of transthoracic three dimensional echocardiography with magnetic resonance imaging in the assessment of right ventricular volume and mass. Heart 1997; 78: 127–130.Google Scholar
Roelandt JRTC, ten Cate FJ, Vletter VB, Taams AM. Ultrasonic dynamic three-dimensional visualization of the heart with a multiplane transoesophageal imaging transducer. J Am Soc Echocardiogr 1994; 7: 217–229.Google Scholar
Heusch A, Koch JA, Krogmann ON, Korbmacher B, Bourgeois M. Volumetric analysis of the right and left ventricle in a porcine heart model: Comparison of 3-dimensional echocardiography, magnetic resonance imaging and angiocardiography. Eur J Ultrasound 1999; 9: 245–255.Google Scholar
Jiang L, Handschumacher MD, Hibberd MG, et al. Three-dimensional echocardiographic reconstruction of right ventricular volume: in vitro comparison with two-dimensional methods. J Am Soc Echocardiogr 1994; 7: 150–158.Google Scholar
Pini R, Gianazzo M, DiBari M, Innocenti F, Devereux RB. Three-dimensional echocardiography: In vitro validation of right ventricular volumes. Circulation 1994; 90 (4,2): 338.Google Scholar
Apfel HD, Solowiejczyk DF, Printz BF, et al. Feasibility of a two-dimensional echocardiographic method for the clinical assessment of right ventricular volume and function in children. J Am Soc Echocardiogr 1996; 9: 637–645.Google Scholar
Denslow S, Wiles H. Right ventricular volumes revisited: a simple model and simple formula for echocardiographic determination. J Am Soc Echocardiogr 1998; 9: 864–873.Google Scholar
Jacksch R, Niethammer J, Karsch KR, Seipel L. 2-dimensional echocardiographic analysis of the volume and function of the right ventricle in the apical and subcostal 4 chamber image. Z Kardiol 1986; 75: 552–558.Google Scholar
Hiraishi S, DiSessa TG, Jarmakani JM. Two-dimensional echocardiographic assessment of right ventricular volume in children with congenital heart disease. Am J Cardiol 1982; 50: 1368–1375.Google Scholar
Silvermann NH, Hudson S. Evaluation of right ventricular volume and ejection fraction in children by two-dimensional echocardiography. Pediatr Cardiol 1983; 4: 197–203.Google Scholar
Erbel R, Schweizer P, Lampertz H. Echoventriculography – a simultaneous analysis of two dimensional echocardiography and cineventriculography. Circulation 1983; 67: 205–215.Google Scholar
Silvermann NH, Schiller NB. Cross sectional echocardiographic assessment of cardiac chamber size and ejection fraction in children. Ultrasound Med Biol 1984; 10: 757–769.Google Scholar
Niederle P, Jezek V, Jezkowa J, Michaljanic A. Three echocardiographic methods in right ventricular function evaluation. Cardiology 1991; 78: 334–339.Google Scholar