title: Repairing interatrial septal defects from the operating room to the cardiac catheterization laboratory: 2D or not 2D?
abstract: Uncorrected congenital interatrial septal defect can be found in nearly a third of all adults and are associated with significant morbidity, including pulmonary hypertension, right-heart failure, atrial arrhythmias, and paradoxical embolic stroke. With advancing technology, percutaneous closure of atrial septal defects has become a viable alternative to open surgical repair. In this review, the authors provide 3 examples in which 3-dimensional interventional transesophageal echocardiogram effectively provided more precise visualization of the dynamic surface and geometry of the atrial septum and related structures than 2-dimensional TEE, permitting accurate sizing and repair of the defects.
authors.affiliation: Brigham and Women's Hospital, Boston, MA, USA.
authors.forename: Tjorvi
authors.initials: T
authors.lastname: Perry
authors.forename: Douglas C
authors.initials: DC
authors.lastname: Shook
authors.forename: Fani
authors.initials: F
authors.lastname: Nhuch
authors.forename: Henry
authors.initials: H
authors.lastname: Chou
authors.forename: Stanton
authors.initials: S
authors.lastname: Shernan
authors.forename: Wendy L
authors.initials: WL
authors.lastname: Gross
mesh_terms: D000328:Adult; D006328:Cardiac Catheterization; D019560:Echocardiography, Three-Dimensional; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007753:Laboratories; D008297:Male; D009873:Operating Rooms