Language
English
Publication Date
3-19-2025
Journal
JACC: Case Reports
DOI
10.1016/j.jaccas.2024.102755
PMID
40118619
PMCID
PMC12011112
PubMedCentral® Posted Date
12-4-2024
PubMedCentral® Full Text Version
Post-print
Abstract
The surgical management of patients with complex intracardiac connections, ventricular septal defect (VSD), and 2 adequately sized ventricles is challenging. Understanding the VSD anatomy and its spatial relationships with the outflow tracts is critical to determining the suitability for biventricular repair. Transthoracic 2-dimensional echocardiography (2D-echo) is the primary cardiac imaging tool in congenital heart disease. Transthoracic 3-dimensional echocardiography (3D-echo) has an additive role over 2D-echo in the definition of the potential baffle pathway from the VSD to the semilunar valves, the anatomical characteristics of the VSD, and any substrate for systemic outflow tract obstruction postrepair. In this paper, we describe 4 cases where transthoracic 3D-echo provided crucial delineation of the intracardiac connections and the VSD anatomy for surgical planning. We also describe our transthoracic 3D-echo protocol to evaluate these complex heart defects.
Keywords
3-dimensional imaging, congenital heart defect, double-outlet right ventricle, echocardiography, ventricular septal defect
Published Open-Access
yes
Recommended Citation
Sanchez Mejia, Aura Andrea; Doan, Tam T; Lilje, Christian; et al., "Utility of 3-Dimensional Echocardiography in Patients With Complex Intracardiac Connections and Ventricular Septal Defects" (2025). Faculty and Staff Publications. 5706.
https://digitalcommons.library.tmc.edu/baylor_docs/5706