Document Detail

Obstructed total anomalous pulmonary venous connection.
MedLine Citation:
PMID:  8456018     Owner:  NLM     Status:  MEDLINE    
With the advent of echocardiography, total anomalous pulmonary venous connection (TAPVC) can be readily diagnosed without much difficulty. However, noninvasive detection of the presence of pulmonary venous obstruction in TAPVC remains a difficult issue. During a 5.5-year period, 42 patients were found to have TAPVC by catheterization, surgery, and/or autopsy: 17 had supracardiac drainage, 13 paracardiac drainage, nine infracardiac drainage, and three mixed drainage. Obstruction to pulmonary venous drainage was found in 24 patients (57%). Patients with right isomerism tended to have a higher incidence of pulmonary venous obstruction than those with the usual atrial arrangement (80% vs. 44%, p < 0.05). Color Doppler combined with cross-sectional echocardiography provided accurate delineation of drainage sites in 93% cases (39 of 42). Among the 39 cases with correct echocardiographic delineation of the drainage site, obstruction was detected by echocardiography in 22 cases with a sensitivity of 100% (22 of 22) and a specificity of 85% (17 of 20). Therefore, complete echocardiography, including cross-sectional images and color Doppler proved to be a reliable tool in the detection of drainage sites and pulmonary venous obstruction in TAPVC.
J K Wang; H C Lue; M H Wu; M L Young; F F Wu; J M Wu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatric cardiology     Volume:  14     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  1993 Jan 
Date Detail:
Created Date:  1993-04-16     Completed Date:  1993-04-16     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  28-32     Citation Subset:  IM    
Department of Pediatrics, National Taiwan University Hospital, Taipei.
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MeSH Terms
Congenital Abnormalities / diagnosis
Echocardiography, Doppler*
Heart Catheterization
Pulmonary Veins / abnormalities*
Sensitivity and Specificity

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