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Incremental value of three‐dimensional transthoracic echocardiography over the two‐dimensional modality in the assessment of right heart compression and dysfunction produced by pectus excavatum
Author(s) -
Salama Ahmed Y.,
Arisha Mohammed J.,
Nanda Navin C.,
Klas Berthold,
Ibeche Bashar,
Wei Benjamin
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14230
Subject(s) - pectus excavatum , medicine , right heart , deformity , cardiology , radiology , compression (physics) , surgery , composite material , materials science
The usefulness of two‐dimensional transthoracic echocardiography (2 DTTE ) in the assessment of right heart compression and dysfunction produced by pectus excavatum chest wall deformity has been well described in the literature by several investigators. However, there is a paucity of reports describing incremental value of live/real time three‐dimensional transthoracic echocardiography (3 DTTE ) over the two‐dimensional technique in the evaluation of right heart function in these patients. We present a severe case of pectus excavatum chest wall deformity in a young male, in whom 3 DTTE provided incremental value over standard 2 DTTE in assessing compression of the right heart before surgery and marked improvement in right heart function parameters following surgical repair. In addition, an updated summary of salient features of this deformity, including 2D and 3 DTTE findings as well as right heart echocardiographic parameters by both 2D and 3 DTTE in normal/healthy subjects summarized from the literature have been provided in a tabular form for comparison.