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

The usefulness of two‐dimensional transthoracic echocardiography (2DTTE) 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 describin...

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Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2019-01, Vol.36 (1), p.150-163
Main Authors: Salama, Ahmed Y., Arisha, Mohammed J., Nanda, Navin C., Klas, Berthold, Ibeche, Bashar, Wei, Benjamin
Format: Article
Language:English
Subjects:
Adult
Echocardiography - methods
Echocardiography, Three-Dimensional - methods
Funnel Chest - complications
Funnel Chest - surgery
Heart Ventricles - diagnostic imaging
Heart Ventricles - physiopathology
Humans
Male
pectus excavatum
right atrium
right heart
right ventricle
right ventricular volume
speckle tracking echocardiography
three‐dimensional echocardiography
three‐dimensional transthoracic echocardiography
tricuspid valve annulus
two‐dimensional echocardiography
Ventricular Dysfunction, Right - etiology
Ventricular Dysfunction, Right - surgery
Young Adult
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Summary:The usefulness of two‐dimensional transthoracic echocardiography (2DTTE) 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 (3DTTE) 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 3DTTE provided incremental value over standard 2DTTE 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 3DTTE findings as well as right heart echocardiographic parameters by both 2D and 3DTTE in normal/healthy subjects summarized from the literature have been provided in a tabular form for comparison.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.14230