PMID- 25453716
OWN - NLM
STAT- MEDLINE
DCOM- 20150916
LR  - 20191210
IS  - 1875-2128 (Electronic)
IS  - 1875-2128 (Linking)
VI  - 108
IP  - 1
DP  - 2015 Jan
TI  - Multivariable assessment of the right ventricle by echocardiography in patients 
      with repaired tetralogy of Fallot undergoing pulmonary valve replacement: a 
      comparative study with magnetic resonance imaging.
PG  - 5-15
LID - S1875-2136(14)00243-5 [pii]
LID - 10.1016/j.acvd.2014.07.054 [doi]
AB  - BACKGROUND: Evaluation of the right ventricle (RV) using transthoracic 
      echocardiography is challenging in patients with repaired tetralogy of Fallot 
      (rTOF). AIMS: To evaluate the accuracy of conventional echocardiographic 
      variables and real-time three-dimensional echocardiography (RT3DE) in assessing 
      right ventricular (RV) volumes and function compared with magnetic resonance 
      imaging (MRI), in adult patients with rTOF and referred for pulmonary valve 
      replacement (PVR). METHODS: Complete echocardiography was performed on 26 
      consecutive patients referred for PVR, before and 1 year after surgery. All 
      variables were compared with MRI. RESULTS: Correlations between conventional 
      variables and MRI were absent or poor when assessing RV ejection fraction (RVEF), 
      except for fractional area of change (FAC; r=0.70, P<0.01 before PVR; r=0.68, 
      P<0.01 after PVR) and RT3DE (r=0.96, P<0.01 before PVR; r=0.98, P<0.01 after 
      PVR). The RV volume correlation between RT3DE and MRI was excellent before and 
      after surgery for RV end-diastolic volume (r=0.88, P<0.01 and r=0.91, P<0.01, 
      respectively) and RV end-systolic volume (r=0.92, P<0.01 and r=0.95, P<0.01, 
      respectively). The accuracy of these indices, as a diagnostic test for impaired 
      RV (<45%), was good: Youden's indexes varied from 0.47 to 0.89; areas under the 
      receiver operating characteristic curve before and after PVR were 0.86 and 0.81 
      for FAC and 0.98 and 0.97 for RT3DE, respectively. CONCLUSION: Commonly used 
      echocardiography variables, such as tricuspid annular plane systolic excursion 
      and tricuspid annular peak systolic velocity, did not sensitively evaluate global 
      RVEF. A global approach, that includes the whole RV and integration of its 
      different components, was more reliable in patients with rTOF.
CI  - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved.
FAU - Selly, Jean-Bernard
AU  - Selly JB
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France. Electronic address: 
      bernardselly@hotmail.com.
FAU - Iriart, Xavier
AU  - Iriart X
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France.
FAU - Roubertie, Francois
AU  - Roubertie F
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France.
FAU - Mauriat, Philippe
AU  - Mauriat P
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France.
FAU - Marek, Jan
AU  - Marek J
AD  - Great Ormond Street Hospital for Children, London, United Kingdom.
FAU - Guilhon, Emmanuelle
AU  - Guilhon E
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France.
FAU - Jamal-Bey, Karim
AU  - Jamal-Bey K
AD  - Division of Pediatrics, Reunion Hospital University Center, Saint-Pierre, 
      Reunion.
FAU - Thambo, Jean-Benoit
AU  - Thambo JB
AD  - Division of Congenital Heart Disease, Bordeaux Hospital University Center, avenue 
      de Magellan, 33604 Bordeaux, France.
LA  - eng
PT  - Comparative Study
PT  - Evaluation Study
PT  - Journal Article
DEP - 20141112
PL  - Netherlands
TA  - Arch Cardiovasc Dis
JT  - Archives of cardiovascular diseases
JID - 101465655
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Area Under Curve
MH  - Cardiac Surgical Procedures/*adverse effects
MH  - *Echocardiography, Three-Dimensional
MH  - Feasibility Studies
MH  - Female
MH  - *Heart Valve Prosthesis Implantation
MH  - Heart Ventricles/*diagnostic imaging/physiopathology
MH  - Humans
MH  - *Magnetic Resonance Imaging
MH  - Male
MH  - Multivariate Analysis
MH  - Predictive Value of Tests
MH  - Pulmonary Valve/diagnostic imaging/physiopathology/*surgery
MH  - Pulmonary Valve Insufficiency/diagnostic 
      imaging/etiology/physiopathology/*surgery
MH  - ROC Curve
MH  - Stroke Volume
MH  - Tetralogy of Fallot/*surgery
MH  - Time Factors
MH  - Treatment Outcome
MH  - Tricuspid Valve/diagnostic imaging/physiopathology
MH  - Ventricular Dysfunction, Right/*diagnostic imaging/etiology/physiopathology
MH  - *Ventricular Function, Right
MH  - Young Adult
OTO - NOTNLM
OT  - Echocardiography
OT  - IRM
OT  - Magnetic resonance imaging
OT  - Pulmonary valve replacement
OT  - Remplacement valvulaire pulmonaire
OT  - Right ventricle
OT  - Tetralogy of Fallot
OT  - Tetralogie de Fallot
OT  - Ventricule droit
OT  - Echocardiographie
EDAT- 2014/12/03 06:00
MHDA- 2015/09/17 06:00
CRDT- 2014/12/03 06:00
PHST- 2013/12/22 00:00 [received]
PHST- 2014/07/17 00:00 [revised]
PHST- 2014/07/23 00:00 [accepted]
PHST- 2014/12/03 06:00 [entrez]
PHST- 2014/12/03 06:00 [pubmed]
PHST- 2015/09/17 06:00 [medline]
AID - S1875-2136(14)00243-5 [pii]
AID - 10.1016/j.acvd.2014.07.054 [doi]
PST - ppublish
SO  - Arch Cardiovasc Dis. 2015 Jan;108(1):5-15. doi: 10.1016/j.acvd.2014.07.054. Epub 
      2014 Nov 12.