The role of three dimensional echocardiography in percutaneous transcatheter atrial septal defect closure Perkütan transkateter yolla atriyal septal defekt kapatmalarda üç boyutlu ekokardiyografik görüntülemenin yeri


Güngör M., Baysan O., Kurşaklioǧlu H., BARÇIN C., Yokuşoǧlu M.

Gulhane Medical Journal, cilt.52, sa.4, ss.261-265, 2010 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 52 Sayı: 4
  • Basım Tarihi: 2010
  • Dergi Adı: Gulhane Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.261-265
  • Anahtar Kelimeler: Atrial septal defect, Three dimensional echocardiography
  • Sağlık Bilimleri Üniversitesi Adresli: Hayır

Özet

We aimed to compare 2 dimensional and 3 dimensional measured ostium secundumatrial septal defect sizes without concomitant balloon sizing in this study. Twenty patients (male/femal ratio: 12/8, median age: 26 years) with ostium secundum type atrial septal defect were included. The defect size with largest diameter was measured from the view planes obtainedby 2 dimensional transesophageal echocardiography. At the same time the largest defect diameter was measured with a face view obtained by 3 dimensional transesophageal echocardiography. Although there was a statistically significant high correlation between the defect sizes obtained by 2 dimensional and 3 dimensional measurements (r=0.959, p<0.001), the defect size measured by 2 dimensional transesophageal echocardiography was smaller than that measured by3 dimensional transesophageal echocardiography in 15 out of 20 patients. No leakage flow (residual shunt) was detected in any of the patients after a mean follow up of 9 months. Two dimensional or 3 dimensional transesophageal echocardiography can succesfully be used for determination of the defect size without concomittant use of baloon sizing in percutaneous atrial septaldefect closure. However, it should be kept in mind that 2 dimensional echocardiographic measurement may underestimate the defect size. © Gülhane Askeri Ti{dotless}p Akademisi 2010.