Key result
Real time 3D echocardiography provides additional benefits over bidimensional echocardiography in defining the site of rupture and optimizing delivery maneuvers for postinfarction ventricular septal defect.
Why the study?
Does real-time three-dimensional echocardiography improve the diagnosis and percutaneous management of postinfarction ventricular septal defect?
Does real-time three-dimensional echocardiography improve the diagnosis and percutaneous management of postinfarction ventricular septal defect?
Real-time 3D echocardiography is a valuable advanced tool for guiding the percutaneous closure of postinfarction ventricular septal defects.
May aid percutaneous postinfarction VSD closure; hypothesis-generating and leaves open need for prospective validation.
Postinfarction ventricular septal defect (PIVSD) is challenging in both diagnosis and management. Especially in case of percutaneous treatment, a comprehensive echocardiographic assessment is needed. Bidimensional echocardiography enables localization and quantifi cation of intracardiac shunting aiding occluder devices proper choosing and positioning. Nevertheless real time three‐dimensional (3D) echocardiography usage presents additional benefi ts, defi ning in details the site of rupture and the surrounding cardiac structures. By 3D transesophageal guidance, delivery maneuvers are optimized and inappropriate expansion or position of the implanted device can be accurately assessed. In conclusion, real time 3D echocardiography emerges as a valid and advanced tool in diagnosis and management of PIVSD.
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Scandura et al. (2012) conducted a review in Postinfarction ventricular septal defect. Real time three-dimensional (3D) echocardiography vs. Bidimensional echocardiography was evaluated. Real time 3D echocardiography provides additional benefits over bidimensional echocardiography in defining the site of rupture and optimizing delivery maneuvers for postinfarction ventricular septal defect.
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