Document Detail

Angiocardiographic evaluation of right ventricular size and morphology in tricuspid atresia.
MedLine Citation:
PMID:  2766344     Owner:  NLM     Status:  MEDLINE    
The potential for right ventricular growth and physiological repair in tricuspid atresia may influence the type of Fontan procedure. To evaluate preoperative right ventricular assessment, we compared the right ventricular size and morphology determined by selective right ventricular catheterization with axial left ventricular angiography. In seven consecutive patients with tricuspid atresia and ventriculo-arterial concordance, the right ventricular volume was 12.8 +/- 9.4 cc, with a predicted normal volume (based on body surface area) of 31 +/- 16 cc, 43% (range 24-78%) of normal. Right ventricular injection outlined a right ventricular area twice that visualized from an axial left ventricular injection (33.2 vs. 16.5 cm). All patients had a well developed but small trabecular portion of the right ventricle, often unopacified with left ventricular injection. Subinfundibular narrowing adjacent to the ventricular septal defect was invariably present, creating, in effect, a two-chambered right ventricle. Selective right ventriculography demonstrates the unique morphology of the right ventricle in patients with tricuspid atresia not visualized by axial left ventriculography.
M M Boucek; J E Sturtevant; R B Jaffe
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular diagnosis     Volume:  17     ISSN:  0098-6569     ISO Abbreviation:  Cathet Cardiovasc Diagn     Publication Date:  1989 Jul 
Date Detail:
Created Date:  1989-10-04     Completed Date:  1989-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7508512     Medline TA:  Cathet Cardiovasc Diagn     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  152-7     Citation Subset:  IM    
Primary Children's Hospital, University of Utah, Salt Lake City.
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MeSH Terms
Cardiac Volume*
Child, Preschool
Heart Catheterization
Heart Septal Defects, Atrial / radiography
Heart Septal Defects, Ventricular / radiography
Heart Ventricles / abnormalities,  radiography*
Tricuspid Valve / abnormalities*,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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