Reliability of transthoracic and transesophageal echocardiography in predicting the size of atrial septal defect

Senka Mesihović-Dinarević, Zijo Begić, Mirza Halimić, Almira Kadić, Refet Gojak

Abstract


Objective. To determine the reliability of transthoracic echocardiography(TTE) and transesophageal echocardiography (TEE) in predictingthe size of an atrial septal defect (ASD). Material and methods.The study included 16 patients who underwent the catheter-basedprocedures to close an atrial septal defect between February 2008 andDecember 2011 at the Paediatrics Clinic, CCU Sarajevo, after clinicaland TTE and TEE evaluation. In order to determine the assumed diameterof the balloon (A-SBD), we used the formula of quantificationA-SBD=TTE defect diameter×1:09 + 3.9 mm and A-SBD=1.1× transesophagealdiameter of ASD+2.0 mm. The ASD was examined usingthe long-axis view, the basal short-axis view, the apical four-chamberview and the subcostal view to observe its position, diameter and relationto neighbouring structures. The largest diameter was selectedas the reference diameter. Results. Of the total number of treatedpatients, 11 were female. Treatment was conducted by a foreign andlocal team of invasive cardiologists. The average age of the patientswas 8.43 years (2 -17 years). Apart from a transient disturbance ofrhythm in the youngest patients, there were no other intra and postproceduralcomplications. The obtained formulas represent “our” defaultsize of the SBD, based on measurements of TTE and TEE: A-SBD(TTE)=6.02+0.86×TTE and A-SBD (TEE)=3.93+0.86×TEE. Conclusion.ASD diameter determined by TTE and TEE can reliably determinethe appropriate size needed Amplatzer Septal Occluder device.

Keywords


Interatrial septal defect; Echocardiography; Streched ballon diameter; Amplatzer septal occluder

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References


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