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European Journal of Echocardiography Advance Access published online on August 26, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen214
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Role of real-time three-dimensional transoesophageal echocardiography for guiding transcatheter patent foramen ovale closure

Roberto Martin-Reyes*, Teresa López-Fernández, Mar Moreno-Yangüela, Raul Moreno, Miguel Angel Navas-Lobato, Elena Refoyo, Gabriela Guzmán, Francisco Domínguez-Melcón and Jose Luis López-Sendón

Laboratory of Echocardiography, Department of Cardiology, La Paz University Hospital, Paseo de la Castellana, 261, CP 28046, Madrid, Spain

Received 19 May 2008; accepted after revision 17 August 2008.

* Corresponding author. Tel: +34 607 425 611. E-mail address: rmartinreyes{at}yahoo.es


  Abstract

Patent foramen ovale (PFO) is a relatively common congenital condition which has been implicated in cryptogenic stroke as a result of paradoxical thromboembolism by right-to-left shunting. Many studies have demonstrated that transcatheter PFO closure significantly reduced the incidence of recurrent strokes in a small group of high-risk patients with PFO and atrial septal aneurysm compared with antithrombotic drugs. Two-dimensional transoesophageal echocardiography (2D TEE) has become the election technique for guiding patent foramen ovale closure. Real-time Three-dimensional transoesophageal echocardiography (3D TEE) may be potentially superior to 2D TEE in the accurate assessment of the morphology and efficacy of transcatheter closure devices because of a better spacial orientation.

Keywords: Three-dimensional transoesophageal echocardiography; Transcatheter patent foramen ovale closure; Amplatzer patent foramen ovale device


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