Using 3D Echocardiography for Surgical Planning in Congenital Heart Disease

Purpose of Review: This paper serves as a review of the anatomic lesions in congenital heart disease that would benefit from pre-surgical evaluation using three-dimensional echocardiography (3DE) and future research needed in 3DE. Recent Findings: Three-dimensional echocardiography provides a noninvasive evaluation of congenital heart disease in three dimensions to allow for better understanding of anatomic relationships. Specific views of 3DE views are discussed to best access these complex lesions prior to surgery. Summary: Mechanisms of atrioventricular valve regurgitation are discussed using 3DE. Location of straddling valve, location of ventricular septal defect in double outlet right ventricles, complex anatomy of left ventricular outflow tract obstruction, and complex muscular ventricular septal defect locations are described in detail using 3DE and the best imaging modality from live 3D, 3D zoom, full volume acquisitions, and multiplane reconstruction to aid surgical planning.