Skip to main content

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
Cancel
×
×
Home
  • Home
Article
  • Cited by 22
  • Cited by
    Crossref Citations
    Crossref logo
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.
    Cassidy, Courtney Mitchell, Max B. and Jone, Pei-Ni 2018. Three-dimensional echocardiographic evaluation of Ebstein’s anomaly of the tricuspid valve in a patient with hypoplastic left heart syndrome. Cardiology in the Young, Vol. 28, Issue. 06, p. 885.
    Silverman, Norman H. 2018. Right Ventricular Physiology, Adaptation and Failure in Congenital and Acquired Heart Disease. p. 161.
    Zucker, Evan J. Koning, Jeffrey L. and Lee, Edward Y. 2017. Cyanotic Congenital Heart Disease. Radiologic Clinics of North America, Vol. 55, Issue. 4, p. 693.
    Grattan, Michael and Mertens, Luc 2017. Manual of 3D Echocardiography. p. 211.
    Simpson, John Lopez, Leo Acar, Philippe Friedberg, Mark K. Khoo, Nee S. Ko, H. Helen Marek, Jan Marx, Gerald McGhie, Jackie S. Meijboom, Folkert Roberson, David Van den Bosch, Annemien Miller, Owen and Shirali, Girish 2017. Three-dimensional Echocardiography in Congenital Heart Disease: An Expert Consensus Document from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. Journal of the American Society of Echocardiography, Vol. 30, Issue. 1, p. 1.
    Simpson, John Lopez, Leo Acar, Philippe Friedberg, Mark Khoo, Nee Ko, Helen Marek, Jan Marx, Gerald McGhie, Jackie Meijboom, Folkert Roberson, David Van den Bosch, Annemien Miller, Owen and Shirali, Girish 2016. Three-dimensional echocardiography in congenital heart disease: an expert consensus document from the European Association of Cardiovascular Imaging and the American Society of Echocardiography. European Heart Journal – Cardiovascular Imaging, Vol. 17, Issue. 10, p. 1071.
    Charakida, Marietta Pushparajah, Kuberan and Simpson, John 2014. 3D echocardiography in congenital heart disease: a valuable tool for the surgeon. Future Cardiology, Vol. 10, Issue. 4, p. 497.
    Elsheikh, Raghda Ghonimy Darweish, Ahmed Z. Elsetiha, Mohamed and Kamel, Hazem 2014. Comparative study between real time three dimensional echocardiogram and angiography in evaluation of patent ductus arteriosus, single center experience. Journal of the Saudi Heart Association, Vol. 26, Issue. 4, p. 204.
    Geerdink, Lianne M. and Kapusta, Livia 2014. Dealing with Ebstein's anomaly. Cardiology in the Young, Vol. 24, Issue. 02, p. 191.
    Hadeed, Khaled Hascoet, Sebastien Dulac, Yves Peyre, Marianne and Acar, Philippe 2014. Tethering of Tricuspid Valve Resulting from Aberrant Tendinous Cords Mimic Ebstein's Anomaly, Three-Dimensional Echocardiography Approach. Echocardiography, Vol. 31, Issue. 4, p. E136.
    Arya, Puneeta and Beroukhim, Rebecca 2014. Ebstein Anomaly: Assessment, Management, and Timing of Intervention. Current Treatment Options in Cardiovascular Medicine, Vol. 16, Issue. 10,
    Jiang, Guo-Ping Gao, Li-Chao Gong, Fang-Qi He, Jin and Ye, Jing-Jing 2014. A New Method for Evaluating Tricuspid Valve Displacement in Children With Ebstein’s Anomaly: Using the Annulus and Coronary Sinus as a Reference Point. Pediatric Cardiology, Vol. 35, Issue. 2, p. 270.
    Bharucha, Tara Honjo, Osami Seller, Neil Atlin, Cori Redington, Andrew Caldarone, Christopher A. van Arsdell, Glen and Mertens, Luc 2013. Mechanisms of tricuspid valve regurgitation in hypoplastic left heart syndrome: a case-matched echocardiographic–surgical comparison study. European Heart Journal - Cardiovascular Imaging, Vol. 14, Issue. 2, p. 135.
    Bharucha, Tara and Mertens, Luc 2013. Recent advances in pediatric echocardiography. Expert Review of Cardiovascular Therapy, Vol. 11, Issue. 1, p. 31.
    Svintsova, Liliya I. Popov, Sergey V. and Kovalev, Igor A. 2013. Radiofrequency Ablation of Drug-Refractory Arrhythmias in Small Children Younger Than 1 Year of Age: Single-Center Experience. Pediatric Cardiology, Vol. 34, Issue. 6, p. 1321.
    Attenhofer Jost, Christine H. Edmister, Whitney D. Julsrud, Paul R. Dearani, Joseph A. Savas Tepe, M. Warnes, Carole A. Scott, Christopher G. Anavekar, Nandan S. Ammash, Naser M. and Connolly, Heidi M. 2012. Prospective comparison of echocardiography versus cardiac magnetic resonance imaging in patients with Ebstein’s anomaly. The International Journal of Cardiovascular Imaging, Vol. 28, Issue. 5, p. 1147.
    Yamauchi, Haruo Vasilyev, Nikolay V. Marx, Gerald R. Loyola, Hugo Padala, Muralidhar Yoganathan, Ajit P. and del Nido, Pedro J. 2012. Right ventricular papillary muscle approximation as a novel technique of valve repair for functional tricuspid regurgitation in an ex vivo porcine model. The Journal of Thoracic and Cardiovascular Surgery, Vol. 144, Issue. 1, p. 235.
    Muraru, Denisa Badano, Luigi P. Sarais, Cristiano Soldà, Elena and Iliceto, Sabino 2011. Evaluation of Tricuspid Valve Morphology and Function by Transthoracic Three-Dimensional Echocardiography. Current Cardiology Reports, Vol. 13, Issue. 3, p. 242.
    Yalonetsky, Sergey Tobler, Daniel Greutmann, Matthias Crean, Andrew M. Wintersperger, Bernd J. Nguyen, Elsie T. Oechslin, Erwin N. Silversides, Candice K. and Wald, Rachel M. 2011. Cardiac Magnetic Resonance Imaging and the Assessment of Ebstein Anomaly in Adults. The American Journal of Cardiology, Vol. 107, Issue. 5, p. 767.
    Viola, Nicola Vettukattil, Joseph J. and Haw, Marcus P. 2011. Restoring Anterior Leaflet Continuity: The Spinnaker Repair of Ebstein's Anomaly. The Annals of Thoracic Surgery, Vol. 92, Issue. 2, p. 752.
    Download full list
    ×
  • Get access
    Add to cart USD35.00
    Check if you have access via personal or institutional login
    Log in Register Recommend to librarian

Multiplanar review of three-dimensional echocardiography gives new insights into the morphology of Ebstein’s malformation

  • Tara Bharucha (a1), Robert H. Anderson (a1), Zek S. Lim (a1) and Joseph J. Vettukattil (a1)
Abstract
Introduction

We aimed to assess the ability of the multiplanar review modality of three-dimensional echocardiography to examine the dynamic morphology and the functional characteristics of malformed tricuspid valves in patients previously identified as having Ebstein’s malformation. Based on these characteristics, we attempted to differentiate Ebstein’s malformation from tricuspid valvar dysplasia.

Methods

Using three-dimensional multiplanar review, analysed with either Qlab 6.0 or Tomtech Image Arena 3.0, we studied 23 patients, aged from 1 day to 70 years, previously diagnosed using cross-sectional echocardiography as having Ebstein’s malformation.

Results

Using the features of rotational abnormality, and the orientation, of the effective tricuspid valvar orifice as diagnostic features of Ebstein’s malformation, we reclassified 11 patients (48 per cent) as exhibiting tricuspid valvar dysplasia. In addition, we studied the dynamic morphology as well as the function of the tricuspid valve. Surgical treatment was undertaken on 10 patients, revealing good correlation with the findings obtained using three-dimensional multiplanar review. In those with Ebstein’s malformation, we found varying degrees of rotation, with the effective valvar orifice always directed towards the right ventricular outflow tract. The opening of the orifice of dysplastic tricuspid valves, in contrast, was towards the apex of the right ventricle. The degree of delamination, and abnormalities of subcordal apparatus, were similar in the two groups.

Discussion

Three-dimensional multiplanar review permits accurate definition of the dynamic morphology of Ebstein’s malformation, permitting clear differentiation from tricuspid valvar dysplasia.

Copyright
COPYRIGHT: © Cambridge University Press 2009
Corresponding author
Correspondence to: Dr Tara Bharucha, Congenital Cardiac Centre, Department of Paediatric Cardiology, Mailpoint 46, Southampton University NHS Trust, Tremona Road, Southampton, SO16 6YD, United Kingdom. Tel: +44 23 8079 8825; Fax: +44 23 8079 4526; E-mail: tarabharucha@doctors.org.uk
References
Hide All
1.Oechslin, E, Buchholz, S, Jenni, R. Ebstein’s anomaly in adults: Dopplerechocardiographic evaluation. J Thorac Cardiovasc Surg 2000; 48: 209–213.
2.Seward, JB. Ebstein’s anomaly: Ultrasound imaging and hemodynamic evaluation. Echocardiography 1993; 10: 641–664.
3.Becker, AE, Anderson, RM. Pathology of congenital heart disease. Butterworths, London, 1981, pp. 152–155.
4.Gasul, BM, Arcilla, RA, Lev, M. Heart disease in Children: Diagnosis and Treatment. Pitman Medical Publishing Co Ltd, London, 1966, p. 731.
5.Kanani, M, Moorman, AFM, Cook, AC, et al. Development of the atrioventricular valves: clinicomorphologic correlations. Ann Thor Surg 2005; 79: 1797–1804.
6.Vettukattil, JJ, Bharucha, T, Anderson, RH. Defining Ebstein’s malformation using three-dimensional echocardiography. Inter Cardiovasc Thorac Surg 2007; doi:10.1510/icvts.2007.156612
7.Schreiber, C, Cook, A, Ho, SY, Augustin, N, Anderson, RH. Morphologic spectrum of Ebstein’s malformation: revisitation relative to surgical repair. J Thorac Cardiovasc Surg 1999; 117: 148–155.
8.Ports, TA, Silverman, NH, Schiller, NB. Two-dimensional echocardiographic assessment of Ebstein’s anomaly. Circulation 1978; 58: 336.
9.Martinez, RM, O’Leary, PW, Anderson, RH. Anatomy and echocardiography of the normal and abnormal tricuspid valve. Cardiol Young 2006; 16 (Suppl 3): 4–11.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *

CAPTCHA *

Skip to the audio challenge
×

Keywords:

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 1
Total number of PDF views: 24 *
Loading metrics...

Abstract views

Total abstract views: 163 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 13th June 2018. This data will be updated every 24 hours.

Cancel
Confirm
×