Congenital Heart Disease: Cardiac Morphology & Echocardiography — a Multimedia Presentation


Congenital Heart Disease: Cardiac Morphology & Echocardiography — a Multimedia Presentation


Editor: S. Yen Ho, William C. L. Yip
Publisher: Royal Brompton & Harefield NHS Foundation Trust
Published 2008-05
ISBN: 9789810572310
List Price: $189.00

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Over recent decades, echocardiography has become established as an important non-invasive tool in diagnosing congenital heart malformations. Cross-sectional echocardiography is readily available in most cardiology centers while portable machines are used increasingly in outreach clinics. Thus, recognizing cardiac structures on cross-sectional imaging is crucial in the training of specialists and health professionals who work in the field of congenital heart disease. To help provide the backbone of morphology to trainees, this DVD is compiled as a multimedia book beginning with normal anatomy and the sequential segmental analysis of malformed hearts, followed by chapters on the more common forms of defects. Each chapter has a morphology review followed by examples of echocardiograms of the lesions. The examples are not meant to be exhaustive. This educational DVD is produced with the goal of delivering fundamental knowledge in an interesting format that shows the three-dimensional morphology of congenital heart defects to best advantage so as to improve understanding of heart defects displayed on echocardiographic imaging. Contents include:

  • Over 200 images and over 60 video clips of Cardiac Morphology with narration
  • Over 680 images and over 500 video clips of Echocardiography

Video Clips:


Courtesy of Congenital Cardiology Today, Vol. 6 Issue 8, August 2008, Reviewed by John W. Moore, MD, MPH

In this DVD Text Book ("Congenital Heart Disease Cardiac Morphology & Echocardiography A Multimedia Presentation"), Dr. Ho, a Reader in Cardiac Morphology, Imperial College, London, and Dr. Yip, a Consultant Paediatric Cardiologist, Gleneagles Hospital, Singapore have created an excellent basic resource for students of congenital heart disease. This DVD is a major multi-media effort as it contains 239 images and 62 narrated video clips of cardiac morphology and a total of 683 images and 525 video clips of echocardiography.

The content includes 26 chapters, each divided into sections on morphology and on echocardiography. The morphology sections include colorful descriptive diagrams and numerous demonstrations of anatomic specimens by narrated videos. The echocardiography sections include examples of still images of 2-D, M mode, and Doppler echocardiograms and of real time 2-D images. The initial chapters cover normal anatomy and the sequential segmental analysis of malformed hearts. The subsequent 24 chapters cover most of the common heart defects.

This is a major contribution to available educational aids; however, there are limitations to this DVD text. Most significantly, the 2-D real time echocardiograpic images are of relatively poor quality. In most cases, the images adequately demonstrate the defects of record; however, they almost uniformly fall short of the quality of images commonly acquired in current congenital cardiology echocardiography laboratories. Moreover, the echo examples provided are neither exhaustive nor comprehensive. For example, Chapter 16 on Univentricular AV Connections discusses tricuspid atresia, double inlet left ventricle and double inlet right ventricle in the morphology section; however, in the echocardiographic section only tricuspid atresia with transposition of the great arteries is demonstrated. Furthermore, the echocardiographic assessment of cardiac chamber size and function and of valve function is not covered in any significant way.

In my view the authors achieve their stated goal of "delivering fundamental knowledge in an interesting format." I found myself "surfing" the DVD, and I ended up reviewing virtually all of the DVD chapters when my initial plan was only to look at representative ones. I believe that this is an excellent instructional aid for students of congenital heart disease (both physicians and echo-technologists) and that it could also function well as a review for many more seasoned practitioners.

Table of Contents:

1. Normal anatomy
2. Sequential segmental analysis
3. Pulmonary stenosis
4. Aortic stenosis
5. Congenital mitral anomalies
6. Atrial septal defect
7. Ventricular septal defect
8. Atrioventricular septal defect
9. Tetralogy of Fallot
10. Pulmonary atresia with ventricular septal defect
11. Complete transposition
12. Double outlet right ventricle
13. Congenitally corrected transposition
14. Hypoplastic left heart
15. Pulmonary atresia with intact ventricular septum
16. Univentricular atrioventricular connections
17. Division of atrial chambers
18. Patent arterial duct
19. Coarctation and interruption
20. Common arterial trunk
21. Aorto-pulmonary window
22. Coronary arteriovenous fistula
23. Aberrant coronary artery from pulmonary trunk
24. Anomalous pulmonary veins
25. Ebstein
26. "Dextrocardia"