Document Detail

Inferior-type caval vein defect - echocardiographic and surgical description of a large series of patients.
MedLine Citation:
PMID:  21920057     Owner:  NLM     Status:  Publisher    
AimThis study was carried out to define the anatomical criteria for the diagnosis of inferior-type caval vein defect and compare the echocardiographic findings with surgical findings. METHODS: The records of 19 patients - 13 male and six female patients in the age group of 18 months to 27 years, who were diagnosed as inferior-type caval vein defect with or without anomalous drainage of right pulmonary vein(s) on echocardiography - were retrospectively reviewed and compared with surgical findings. RESULTS: Surgical diagnosis of inferior-type caval vein defect was confirmed in 17 of the 19 patients. In two patients, the surgical diagnosis was that of a large fossa ovalis atrial septal defect - confluent defect and fossa ovalis atrial septal defect with deficient inferior rim in one patient each. Surgical diagnosis of anomalous drainage of pulmonary vein(s) was based on the course of the superior rim of the defect in relation to the pulmonary veins. Our echocardiographic impression of the pulmonary veins appearing in its normal position but showing abnormal drainage to right atrium was in agreement with the surgical notes. Discrepancy was found in the number of pulmonary veins draining anomalously. The discordance was related to overdiagnosis of anomalous drainage in all except one, that is, three out of four. In one, only the right lower pulmonary vein was diagnosed to be anomalous, whereas both right upper and lower pulmonary veins were found to be anomalous. CONCLUSIONS: Echocardiography provides definite diagnosis of inferior-type caval vein defect. Inferior caval vein straddling and an intact fossa ovalis are prerequisites for diagnosis. Anomalous pulmonary venous drainage of the right pulmonary veins is very common in our series, although accurate diagnosis of the number of pulmonary veins was not possible in all cases. Multiple views on transthoracic echocardiography starting from the subxiphoid views delineate the morphology accurately. Transoesophageal echocardiography is required only in patients in whom the windows, especially the subxiphoid, are not adequate.
Munesh Tomar; Sitaraman Radhakrishnan; Sunil K Kaushal; Kulbhushan S Dagar; Krishna S Iyer; Savitri Shrivastava
Related Documents :
20849787 - Surgical limits in transnasal approach to opticocarotid region and planum sphenoidale: ...
21715077 - Outcomes of coronary reimplantation for correction of anomalous origin of left coronary...
458887 - Late false aneurysm of the carotid artery: repair with extra-intracranial arterial bypass.
15018177 - Bilateral congenital absence of the internal carotid artery.
6691087 - Catheter-directed low dose streptokinase infusion: a preliminary experience.
11212947 - Numerical simulation and experimental validation of blood flow in arteries with structu...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-9-15
Journal Detail:
Title:  Cardiology in the young     Volume:  -     ISSN:  1467-1107     ISO Abbreviation:  -     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-9-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-9     Citation Subset:  -    
Department of Congenital and Pediatric Heart Diseases, Escorts Heart Institute and Research Centre, New Delhi, India.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Tetralogy of Fallot with congenital diaphragmatic hernia and left lung hypoplasia: assessment of the...
Next Document:  Percutaneous upsizing of a Blalock-Taussig shunt.