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Cantinotti, M; Marchese, P; Giordano, R; Franchi, E; Assanta, N; Koestenberger, M; Jani, V; Duignan, S; Kutty, S; McMahon, CJ.
Echocardiographic scores for biventricular repair risk prediction of congenital heart disease with borderline left ventricle: a review.
Heart Fail Rev. 2023; 28(1):63-76 Doi: 10.1007/s10741-022-10230-0
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Co-Autor*innen der Med Uni Graz
Koestenberger Martin
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Abstract:
The aim of this review is to highlight the strengths and limitations of major echocardiographic biventricular repair (BVR) prediction models for borderline left ventricle (LV) in complex congenital heart disease (CHD). A systematic search in the National Library of Medicine for Medical Subject Headings and free text terms including echocardiography, CHD, and scores, was performed. The search was refined by adding keywords for critical aortic stenosis (AS), borderline LV, complex left ventricular outflow tract (LVOT) obstruction, hypoplastic left heart syndrome/complex (HLHS/HLHC), and unbalanced atrio-ventricular septal defects (uAVSD). Fifteen studies were selected for the final analysis. We outlined what echocardiographic scores for different types of complex CHD with diminutive LV are available. Scores for CHD with LVOT obstruction including critical AS, HLHS/HLHC, and aortic arch hypoplasia have been validated and implemented by several studies. Scores for uAVSD with right ventricle (RV) dominance have also been established and implemented, the first being the atrioventricular valve index (AVVI). In addition to AVII, both LV/RV inflow angle and LV inflow index have all been validated for the prediction of BVR. We conclude with a discussion of limitations in the development and validation of each of these scores, including retrospective design during score development, heterogeneity in echocardiographic parameters evaluated, variability in the definition of outcomes, differences in adopted surgical and Interventional strategies, and institutional differences. Furthermore, scores developed in the past two decades may have little clinical relevance now. In summary, we provide a review of echocardiographic scores for BVR in complex CHD with a diminutive LV that may serve as a guide for use in modern clinical practice.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Heart Ventricles - administration & dosage
Retrospective Studies - administration & dosage
Heart Defects, Congenital - complications, surgery
Echocardiography - administration & dosage
Aortic Valve Stenosis - administration & dosage
Ventricular Outflow Obstruction, Left - administration & dosage

Find related publications in this database (Keywords)
Echocardiography
Congenital heart disease
Borderline left ventricle
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