Emerging clinical applications of strain imaging and three-dimensional echocardiography for the assessment of ventricular function in adult congenital heart disease

Autor: Narayanswami Sreeram, Ingo Germund, Lianne M. Geerdink, Floris E A Udink Ten Cate, Michael Huntgeburth
Přispěvatelé: Pediatrics
Rok vydání: 2019
Předmět:
Zdroj: Cardiovascular Diagnosis and Therapy, 9, Suppl 2, pp. S326-s345
Cardiovascular Diagnosis and Therapy, 9, S326-S345. AME Publishing Company
Cardiovascular Diagnosis and Therapy, 9, S326-s345
ISSN: 2223-3660
2223-3652
Popis: Contains fulltext : 215790.pdf (Publisher’s version ) (Open Access) Management of congenital heart disease (CHD) in adults (ACHD) remains an ongoing challenge due to the presence of residual hemodynamic lesions and development of ventricular dysfunction in a large number of patients. Echocardiographic imaging plays a central role in clinical decision-making and selection of patients who will benefit most from catheter interventions or cardiac surgery.. Recent advances in both strain imaging and three-dimensional (3D)-echocardiography have significantly contributed to a greater understanding of the complex pathophysiological mechanisms involved in CHD. The aim of this paper is to provide an overview of emerging clinical applications of speckle-tracking imaging and 3D-echocardiography in ACHD with focus on functional assessment, ventriculo-ventricular interdependency, mechanisms of electromechanical delay, and twist abnormalities in adults with tetralogy of Fallot (TOF), a systemic RV after atrial switch repair or in double discordance ventricles, and in those with a Fontan circulation.
Databáze: OpenAIRE