Multi‐modality imaging of the systemic right ventricle in congenital heart disease

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Hauptverfasser: Amalia Baroutidou, Despoina Ntiloudi, Nearchos Kasinos, Evangelia Nyktari, George Giannakoulas
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Veröffentlicht: Wiley 2024
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author Amalia Baroutidou
Despoina Ntiloudi
Nearchos Kasinos
Evangelia Nyktari
George Giannakoulas
author_facet Amalia Baroutidou
Despoina Ntiloudi
Nearchos Kasinos
Evangelia Nyktari
George Giannakoulas
Amalia Baroutidou
Despoina Ntiloudi
Nearchos Kasinos
Evangelia Nyktari
George Giannakoulas
collection Wiley Open Access
contents Multi‐modality imaging of the systemic right ventricle in congenital heart disease Amalia Baroutidou Despoina Ntiloudi Nearchos Kasinos Evangelia Nyktari George Giannakoulas Echocardiography AbstractA comprehensive and structured imaging approach in the evaluation of the systemic right ventricle (sRV) in patients with complete transposition of the great arteries (TGA) after atrial switch procedure and congenitally corrected transposition of the great arteries (ccTGA) is a key for their optimal lifelong surveillance. Despite the improvements in cardiovascular imaging of adults with congenital heart disease (ACHD), the imaging of sRV remains an ongoing challenge due to its complex morphology and the difficulty in applying the existing knowledge for the systemic left ventricle. While cardiac magnetic resonance (CMR) is considered the gold standard imaging method, echocardiographic evaluation is primarily preferred in everyday clinical setting. Although qualitative assessment of its systolic function is primarily used, the introduction of advanced echocardiographic techniques, such as speckle tracking echocardiography (STE) and three‐dimensional echocardiography (3DE), has provided new insights into the optimal assessment of the sRV. Standardized quantitative parameters remain to be elucidated, and morphometric and mechanistic studies are warranted to validate reference ranges for the sRV. This review highlights the challenges in the optimal evaluation of sRV and summarizes the available imaging tools.Highlights CMR is the gold standard imaging method of sRV. Qualitative assessment of the systolic function of sRV is primarily used. Advanced echocardiographic techniques (STE and 3DE) provide optimal sRV assessment. Reference ranges for the sRV indices are warranted to be validated. 10.1111/echo.15749 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1111/echo.15749
format Artículo Open Access
id wiley_oa_10_1111_echo_15749
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2024
publisher Wiley
record_format wiley_oa
spellingShingle Multi‐modality imaging of the systemic right ventricle in congenital heart disease
Amalia Baroutidou
Despoina Ntiloudi
Nearchos Kasinos
Evangelia Nyktari
George Giannakoulas
Echocardiography
Multi‐modality imaging of the systemic right ventricle in congenital heart disease Amalia Baroutidou Despoina Ntiloudi Nearchos Kasinos Evangelia Nyktari George Giannakoulas Echocardiography AbstractA comprehensive and structured imaging approach in the evaluation of the systemic right ventricle (sRV) in patients with complete transposition of the great arteries (TGA) after atrial switch procedure and congenitally corrected transposition of the great arteries (ccTGA) is a key for their optimal lifelong surveillance. Despite the improvements in cardiovascular imaging of adults with congenital heart disease (ACHD), the imaging of sRV remains an ongoing challenge due to its complex morphology and the difficulty in applying the existing knowledge for the systemic left ventricle. While cardiac magnetic resonance (CMR) is considered the gold standard imaging method, echocardiographic evaluation is primarily preferred in everyday clinical setting. Although qualitative assessment of its systolic function is primarily used, the introduction of advanced echocardiographic techniques, such as speckle tracking echocardiography (STE) and three‐dimensional echocardiography (3DE), has provided new insights into the optimal assessment of the sRV. Standardized quantitative parameters remain to be elucidated, and morphometric and mechanistic studies are warranted to validate reference ranges for the sRV. This review highlights the challenges in the optimal evaluation of sRV and summarizes the available imaging tools.Highlights CMR is the gold standard imaging method of sRV. Qualitative assessment of the systolic function of sRV is primarily used. Advanced echocardiographic techniques (STE and 3DE) provide optimal sRV assessment. Reference ranges for the sRV indices are warranted to be validated. 10.1111/echo.15749 http://creativecommons.org/licenses/by/4.0/
title Multi‐modality imaging of the systemic right ventricle in congenital heart disease
topic Echocardiography
url https://onlinelibrary.wiley.com/doi/10.1111/echo.15749