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Three-dimensional Transesophageal Echocardiography of Atrial Septal Defect Device Closure

  • Echocardiography (RM Lang, Section Editor)
  • Published:
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Abstract

Most secundum atrial septal defects (ASD) are amenable to device closure. Three- dimensional transesophageal echocardiography (3DTEE) can be used to obtain an en face view of the ASD and important surrounding structures which provides for analysis of the type, size, shape, orientation, number and position of orifices, ASD rims and important surrounding structures in a single live 3D echo view. Also, 3DTEE is ideal for monitoring the position and configuration of devices and delivery hardware using live real –time imaging techniques. In this chapter we will describe and illustrate the methods to obtain and optimize 3DTEE en face views of the ASD during device closure using 3D zoom, live 3D and 3D full volume plus iCrop modalities. The respective 3D TEE modalities, imaging protocols, advantages and limitations will be discussed. Because it is useful, accurate and fairly simple to use, we have adopted 3D TEE for routine clinical use during ASD device closure.

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Abbreviations

Ao:

aorta

ASD:

secundum atrial septal defect

C:

catheter

CS:

coronary sinus

DTGE:

deep transgastric echocardiography

EV:

Eustachian valve

HVR:

high volume rate

IVC:

inferior vena cava

LA:

left atrium

LTP:

left touch panel

LPV:

left pulmonary vein

LV:

left ventricle

LVOT:

left ventricular outflow tract

MPR:

multiplanar reconstruction

RA:

right atrium

RPV:

right pulmonary vein

RTP:

right touch panel

RV:

right ventricle

S1:

septum primum

SVC:

superior vena cava

TEE:

transesophageal echocardiography

TV:

tricuspid valve

3DFV:

3D full volume

3DTEE:

three-dimensional transesophageal echocardiography

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Moore J, Hegde S, El-Said H, et al. Transcatheter device closure of atrial septal defects. Saf Rev JACC Cardiovasc Interv. 2013;13:433–42.

    Article  Google Scholar 

  2. Bartakian S, Fagan TE, Schaffer MS, et al. Device closure of secundum atrial septal defects in children <15 kg complication rates and indications for referral. JACC Cardiovasc Interv. 2012;11:1178–84.

    Article  Google Scholar 

  3. Vaidyanathan B, Simpson JM, Kumar RK. Transesophageal echocardiography for device closure of atrial septal defects. JACC Cardiovasc Imaging. 2009;2:1238–42.

    Article  PubMed  Google Scholar 

  4. Vaidyanathan B, Simpson JM, Kumar RK. Transesophageal echocardiography for device closure of atrial septal defects case selection. Plan Proced Guid JACC Cardiovasc Imaging. 2009;10:1238–427.

    Article  Google Scholar 

  5. Faletra FF, Ho SY, Auricchio A. Anatomy of right atrial structures by real time 3D transesophageal echocardiography. JACC Cardiovasc Imaging. 2010;3:966–75.

    Article  PubMed  Google Scholar 

  6. Pushparajah K, Owen I, Miller OI, Simpson JM. 3D echocardiography of the atrial septum: anatomical features and landmarks for the echocardiographers. JACC Cardiovasc Imaging. 2010;3:981–4.

    Article  PubMed  Google Scholar 

  7. Taniguchi M, Akagi T, Watanabe N, et al. Application of real-time three-dimensional transesophageal echocardiography using a matrix array probe for trans-catheter closure of atrial septal defect. J Am Soc Echocardiogr. 2009;22:1114–20.

    Article  PubMed  Google Scholar 

  8. Saric M, Perk G, Purgess JR, Kronzon I. Imaging atrial septal defects by real time three-dimensional transesophageal echocardiography: step-by-step approach. J Am Soc Echocardiogr. 2010;23:1128–35. This study provides step-by-step instructions for performing 3D zoom TEE of ASD.

    Article  PubMed  Google Scholar 

  9. Roberson DA, Cui VW, Patel D, et al. Three-dimensional transesophageal echocardiography of atrial septal defect: a qualitative and quantitative anatomic study. J Am Soc Echocardiogr. 2011;24:600–10. This study provides a thorough description of how to visualize and measure ASD during device closure and provides additional 3D images of other types of ASD.

    Article  PubMed  Google Scholar 

  10. Roberson DA, Cui W. Evaluation of atrial and ventricular septal defects with real-time three-dimensional echocardiography. Curr Cardiovasc Imaging Rep. 2011;4:349–60.

    Article  Google Scholar 

  11. Ojala T, Rosenthal E, Nugent K, et al. Live 3D echocardiography to guide closure of residual ASD JACC cardiovasc. Imaging. 2013;4:523–5.

    Google Scholar 

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Conflict of Interest

David A. Roberson has received payment from Philips Ultrasound for being a lecturer for training physicians and sonographers to do 3D echocardiography.

Vivian Wei Cui has received payment from Philips.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Advocate Children’s Hospital Heart Institute, Oak Lawn, IL, USA

    David A. Roberson & Vivian Wei Cui

  2. Chicago Medical School, 4440 W. 95th St, Oak Lawn, IL, 60453, USA

    David A. Roberson

Authors
  1. David A. Roberson
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  2. Vivian Wei Cui
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Corresponding author

Correspondence to David A. Roberson.

Additional information

This article is part of the Topical Collection on Echocardiography

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

3D zoom TEE protocol for en face views of secundum ASD (WMV 5396 kb)

Live 3D TEE protocol for en face views of secundum ASD (WMV 8.51 MB)

3D full volume with iCrop protocol for TEE en face views of secundum ASD (WMV 6146 kb)

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Roberson, D.A., Cui, V.W. Three-dimensional Transesophageal Echocardiography of Atrial Septal Defect Device Closure. Curr Cardiol Rep 16, 453 (2014). https://doi.org/10.1007/s11886-013-0453-4

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  • DOI: https://doi.org/10.1007/s11886-013-0453-4

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