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European Journal of Echocardiography Advance Access originally published online on August 4, 2009
European Journal of Echocardiography 2009 10(8):922-925; doi:10.1093/ejechocard/jep096
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Rapid method for intraoperative assessment of aortic coarctation using three-dimensional echocardiography

Thierry V. Scohy1,*, Frederik du Plessis2, Jackie McGhie3, Peter L. de Jong4 and Ad J.J.C. Bogers4

1 Department of Anesthesiology, Room Bd 581, Erasmus Medical Center, s'Gravendijkwal 32, 3015CE Rotterdam, The Netherlands
2 Department of Paediatric Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
3 Department of Cardiology, Erasmus Medical Centre, Rotterdam, The Netherlands
4 Department of Cardiothoracic Surgery, Erasmus Medical Centre, Rotterdam, The Netherlands

Received 11 May 2009; accepted after revision 23 June 2009; online publish-ahead-of-print 4 August 2009.

* Corresponding author. Tel: +31 107 040704. E-mail address: t.scohy{at}erasmusmc.nl or thierry.scohy{at}skynet.be


  Abstract

Aims: The availability of three-dimensional (3D) echography with its multiplanar review analysis software on board now allows detailed examination in assessing morphological details. We evaluated the feasibility of 3D echography in assessing intraoperative morphological details of aortic coarctation (CoA) and its repair.

Methods and results: Nine consecutive children scheduled for surgery of CoA were intraoperatively evaluated. Intraoperative 3D data sets were taken and analysed online before resection of the coarctation, showing the cross-sectional area (CSA) of the proximal aorta, coarctation, and the distal descending aorta. After resection of the coarctation and extended end-to-end anastomosis, a 3D data set was recorded to analyse the CSA of the anastomosis. In nine out of nine consecutive procedures, intraoperative 3D echography permitted comprehensive viewing and measuring of CoA and its repair. In three out of nine surgical procedures, intraoperative 3D echography provided additional information to support surgical decision-making.

Conclusion: Intraoperative 3D echography is a feasible non-invasive imaging modality for intraoperative assessment of CoA and its repair, which provides useful additional information.

Keywords: Intraoperative; 3D echography; Aortic coarctation


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