دورية أكاديمية
Right Ventricular Systolic Function After the Cone Procedure for Ebstein's Anomaly: Comparison Between Echocardiography and Cardiac Magnetic Resonance.
| العنوان: | Right Ventricular Systolic Function After the Cone Procedure for Ebstein's Anomaly: Comparison Between Echocardiography and Cardiac Magnetic Resonance. |
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| المؤلفون: | Lianza AC; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil. alessandro.lianza@einstein.br., Rodrigues ACT; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., Mercer-Rosa L; Division of Cardiology, Pediatrics Perelman School of Medicine, Children's Hospital of Philadelphia, University of Pennsylvania, Philadelphia, USA., Vieira MLC; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., de Oliveira WAA; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., Afonso TR; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., Nomura CH; Radiology Unit, Hospital Sirio Libanês, São Paulo, Brazil., da Silva JP; Center for Valve Therapy, Children's Hospital of Pittsburg, Pittsburg, USA., da Silva LDF; Cardiothoracic Surgery, Children's Hospital of Pittsburg, Pittsburg, USA., Szarf G; Radiology Unit, Hospital Israelita Albert Einstein, São Paulo, Brazil., Tavares GMP; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., Fischer CH; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil., Morhy SS; Echocardiography Laboratory, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, Morumbi, São Paulo, SP, 05652-900, Brazil. |
| المصدر: | Pediatric cardiology [Pediatr Cardiol] 2020 Jun; Vol. 41 (5), pp. 985-995. Date of Electronic Publication: 2020 Apr 25. |
| نوع المنشور: | Comparative Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: United States NLM ID: 8003849 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-1971 (Electronic) Linking ISSN: 01720643 NLM ISO Abbreviation: Pediatr Cardiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York Ny : Springer Verlag Original Publication: [New York, Springer-Verlag] |
| مواضيع طبية MeSH: | Echocardiography, Three-Dimensional/*standards , Magnetic Resonance Imaging, Cine/*standards , Ventricular Dysfunction, Right/*diagnostic imaging, Adolescent ; Adult ; Child ; Ebstein Anomaly/surgery ; Echocardiography, Three-Dimensional/methods ; Female ; Humans ; Magnetic Resonance Imaging, Cine/methods ; Male ; Middle Aged ; Ventricular Function, Right ; Young Adult |
| مستخلص: | Although the Cone procedure has improved outcomes for patients with Ebstein´s anomaly (EA), neither RV systolic function recovery in long-term follow-up nor the best echocardiographic parameters to assess RV function are well established. Thus, we evaluated RV performance after the Cone procedure comparing two-dimensional (2DEcho) and three-dimensional (3DEcho) echocardiography to cardiac magnetic resonance (CMR). We assessed 27 EA patients after the Cone procedure (53% female, median age of 20 years at the procedure, median post-operative follow-up duration of 8 years). Echocardiography was performed 4 h apart from the CMR. RV global longitudinal strain (GLS), fractional area change (FAC), tricuspid annular plane systolic excursion (TAPSE), myocardial performance index and tissue Doppler S' velocity were assessed using 2DEcho, whereas 3DEcho was used to evaluate RV volumes and ejection fraction (RVEF). Echocardiographic variables were compared to CMR-RVEF. All patients were in the NYHA functional class I. Median TAPSE was 15.9 mm, FAC 30.2%, and RV-GLS -15%; median RVEF by 3DEcho was 31.9% and 43% by CMR. Among 2DEcho parameters, RV-GLS and FAC had a substantial correlation with CMR-RVEF (r = - 0.63 and r = 0.55, respectively); from 3DEcho, the indexed RV volumes and RVEF were closely correlated with CMR (RV-EDVi, r = 0.60, RV-ESVi, r = 0.72; and RVEF r = 0.60). RV systolic function is impaired years after the Cone procedure, despite a good clinical status. FAC and RV-GLS are useful 2DEcho tools to assess RV function in these patients; however, 3DEcho measurements appear to provide a better RV assessment. |
| فهرسة مساهمة: | Keywords: Cardiac magnetic resonance; Cone procedure; Ebstein; Three-dimensional echocardiography; Two-dimensional echocardiography |
| تواريخ الأحداث: | Date Created: 20200427 Date Completed: 20201104 Latest Revision: 20201104 |
| رمز التحديث: | 20240829 |
| DOI: | 10.1007/s00246-020-02347-6 |
| PMID: | 32335735 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1432-1971 |
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| DOI: | 10.1007/s00246-020-02347-6 |