Pulsed Doppler echocardiographic detection of total anomalous pulmonary venous return: Resolution of left atrial line
Autor: | James Geoffrey Stevenson, Warren G. Guntheroth, Isamu Kawabori |
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Rok vydání: | 1979 |
Předmět: |
Heart Defects
Congenital Cardiac Catheterization medicine.medical_specialty Suprasternal notch medicine.medical_treatment Left atrial Internal medicine Methods medicine Humans cardiovascular diseases Persistent left superior vena cava Cardiac catheterization business.industry Hemodynamics Infant Newborn Central venous pressure Infant Blood flow medicine.disease medicine.anatomical_structure Echocardiography Evaluation Studies as Topic Pulmonary Veins Cor triatriatum cardiovascular system Cardiology Radiology Line (text file) Cardiology and Cardiovascular Medicine business |
Zdroj: | The American Journal of Cardiology. 44:1155-1158 |
ISSN: | 0002-9149 |
DOI: | 10.1016/0002-9149(79)90181-4 |
Popis: | During precatheterization M mode echocardiographic examination, 33 infants were identified as having findings including right ventricular enlargement and presence of a line within the left atrial portion of the M mode tracing suggesting the possibility of cor triatriatum or total anomalous pulmonary venous return. Pulsed Doppler echocardiography was used to sample blood characteristics on either side of the left atrial line to determine which line was artifactual and which was indicative of an important structure. Five patients whose blood flow characteristics were different on either side of the left atrial line were subsequently proved to have total anomalous pulmonary venous return at cardiac catheterization. In the remaining infants blood flow characteristics were identical on either side of the line, and catheterization excluded total anomalous pulmonary venous return and cor triatriatum. In all patients who had total anomalous pulmonary venous return, drainage involved a persistent left superior vena cava, and this vascular structure was identified by pulsed Doppler examination from the suprasternal notch. Pulsed Doppler echocardiography appears to be a useful technique for resolution of left atrial lines found on M mode echocardiography. |
Databáze: | OpenAIRE |
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