El Doklah Eman H, El Shedoudy Sahar A, El Saied Ayman M, Kassem Hanan K, El Masry Magdy M
Cardiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
J Saudi Heart Assoc. 2022 Jul 6;34(1):85-99. doi: 10.37616/2212-5043.1303. eCollection 2022.
To evaluate the benefit of using three-dimensional transesophageal echocardiography (3DTEE) over conventional two-dimensional transesophageal echocardiography (2DTEE) in evaluation of various morphological features of atrial septal defect (ASD) and patent foramen ovale (PFO) during transcatheter closure.
This is an observational cross sectional study including 115 patients (45 PFO and 70 ASD patients) who underwent 2D/3DTEE guided transcatheter closure from April 2019 to October 2021 in cardiology department, Tanta university hospital.
70 ASD patients were divided into two groups; the pediatric age group (18 patients, mean age 9.05 ± 3.51 years) and the adult group (52 patients, mean age 39.3 ± 10.15 years). ASD morphology was simple in 12.9% and complex in 87.1% of patients, where 3DTEE was superior in the evaluation of posterior, infero posterior rims, fenestrated flimsy rims, aneurysm shape, orientation, and quality of its tissue. Procedural success was defined as complete defect closure with no complications. The procedure was successful in 68 and failed in 2 patients. 45 PFO patients were divided into two groups; the pediatric age group (14 patients, mean age 13.5 ± 3.25 years) and the adult group (31 patients, mean age 35.2 ± 4.5 years). PFO morphology was simple in 22.2% and complex in 77.8% of patients, where 3DTEE was superior in the evaluation of the exact PFO opening from the left atrium, additional fenestrations, aneurysm shape, orientation, and quality of its tissue. The procedure was successful in all patients.
3DTEE guided transcatheter ASD/PFO closure provides an additional value over conventional 2DTEE in assessment of complex ASD/PFO morphology.
评估在经导管封堵术期间，使用三维经食管超声心动图（3DTEE）相较于传统二维经食管超声心动图（2DTEE）在评估房间隔缺损（ASD）和卵圆孔未闭（PFO）的各种形态特征方面的优势。
这是一项观察性横断面研究，纳入了2019年4月至2021年10月在坦塔大学医院心内科接受2D/3DTEE引导下经导管封堵术的115例患者（45例PFO患者和70例ASD患者）。
70例ASD患者分为两组；儿童年龄组（18例，平均年龄9.05±3.51岁）和成人组（52例，平均年龄39.3±10.15岁）。12.9%的患者ASD形态简单，87.1%的患者ASD形态复杂，在评估后缘、后下缘、多孔薄弱边缘、瘤样形态、方向及其组织质量方面3DTEE更具优势。手术成功定义为缺损完全闭合且无并发症。该手术68例成功，2例失败。45例PFO患者分为两组；儿童年龄组（14例，平均年龄13.5±3.25岁）和成人组（31例，平均年龄35.2±4.5岁）。22.2%的患者PFO形态简单，77.8%的患者PFO形态复杂，在从左心房评估确切的PFO开口、额外的小孔、瘤样形态、方向及其组织质量方面3DTEE更具优势。所有患者手术均成功。
在评估复杂的ASD/PFO形态方面，3DTEE引导下经导管ASD/PFO封堵术相较于传统2DTEE具有额外价值。
