Doppler flow profiles in the right and left pulmonary artery in children with congenital heart disease and a bidirectional cavopulmonary shunt
| Autor: | Manfred Marx, U. Salzer-Muhar, Maria Wimmer, Proll E, M. Ties |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Heart Defects
Congenital Male medicine.medical_specialty Vena Cava Superior Systole Diastole Pulsatile flow Pulmonary Artery Doppler echocardiography Arteriovenous Shunt Surgical Internal medicine medicine Humans Child Pulmonary wedge pressure medicine.diagnostic_test business.industry Palliative Care Infant Left pulmonary artery medicine.disease Right pulmonary artery Echocardiography Doppler Cardiac surgery Pulmonary Valve Stenosis Treatment Outcome Pulmonary Atresia Regional Blood Flow Child Preschool Pulsatile Flow Pediatrics Perinatology and Child Health Cardiology Female Radiology Cardiology and Cardiovascular Medicine Pulmonary atresia business Blood Flow Velocity |
| Zdroj: | Pediatric Cardiology. 15:302-307 |
| ISSN: | 1432-1971 0172-0643 |
| DOI: | 10.1007/bf00798124 |
| Popis: | The systolic and diastolic Doppler tracings in the right and left pulmonary artery were analyzed in 10 patients with complex cyanotic congenital heart disease, aged 6 months to 12 years (median 3 years), after employment of a bidirectional cavopulmonary shunt. The postoperative interval ranged from 2 weeks to 1.7 years (median 1.3 years). In children with pulmonary atresia or severe pulmonary stenosis with minimal antegrade pulsatile pulmonary blood flow Doppler echocardiography confirmed a systolic and diastolic bidirectional shunt from the vena cava superior to both pulmonary arteries. In children with pulmonary stenosis, Doppler echocardiography confirmed a systolic shunt only to the right pulmonary artery and a diastolic bidirectional shunt into both pulmonary arteries. As the left pulmonary artery was perfused by the pulsatile transvalvular flow it was difficult to detect a concomitant systolic Glenn-related flow in those patients. Quantitative analysis of the diastolic Doppler tracings revealed a significant difference in the velocity time integral in the right and left pulmonary artery indicating a dominant right lung perfusion in diastole. |
| Databáze: | OpenAIRE |
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