Thorac Cardiovasc Surg 2015; 63 - P0006
DOI: 10.1055/s-0035-1555997

Non-Volumetric Echocardiographic Indices of Right Ventricular Systolic Function in Ebstein’s Anomaly: Comparison with CMR Derived Ejection Fraction in 49 Patients

A. Kühn 1, C. Meierhofer 1, T. Rutz 1, I. Rondak 2, C. Röhlig 1, S. Fratz 1, P. Ewert 1, M. Vogt 1
  • 1Klinik für Kinderkardiologie und Angeborene Herzfehler, Deutsches Herzzentrum, München, Germany
  • 2Institut für Medizinische Statistik und Epidemiologie, Klinikum rechts der Isar, Technische Universität München, Germany

Background: Ebstein’s anomaly is often associated with RV dysfunction. Data on echocardiographic quantification of RV function in this anomaly are however rare. The aim of this study was to determine which non-volumetric echocardiographic index of global systolic RV function correlates well with CMR-derived RV ejection fraction.

Methods and Results: We therefore compared 8 non-volumetric echocardiographic indices of RV function with the gold standard cardiovascular magnetic resonance (CMR). 49 patients with an Ebstein anomaly and a mean age of 32 ± 18 years were examined. Tricuspid annular plane systolic excursion (TAPSE), tissue Doppler myocardial velocities (peak S, IVA, strain peak S and strain rate peak S) as well as 2D strain measures (2D strain longitudinal peak S, 2D strain rate longitudinal peak S and 2D global strain) for the RV were compared with CMR-derived ejection fraction values. Of the 8 echocardiographic parameters investigated, only 2D global strain showed a significant correlation with CMR-derived RVEF (R= −0.4, p = 0.01).

Conclusion: The only non-volumetric echocardiographic parameter which correlates with CMR derived RV ejection fraction in patients with the Ebstein anomaly was RV 2D global strain. TAPSE and myocardial velocities correlated poorly and should not be used.