| Pulmonary atresia with ventricular septal defect. Selection of patients for systemic-to-pulmonary artery shunt based on echocardiography. | |
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MedLine Citation:
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PMID: 1702046 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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From January 1987 to December 1988, in 22 infants with PAVSD, the diagnostic results obtained with echocardiography (two-dimensional, Doppler, and color) were prospectively compared to the angiocardiographic findings. We classified into group 1 patients with confluent and good-sized pulmonary (greater than or equal to 3 mm) arteries, single ductus arteriosus, and normal pulmonary venous connections ("favorable pattern"). The other patients with PAVSD were classified into group 2 ("unfavorable pattern"). The intracardiac anatomy, the morphology of the pulmonary arteries, and the pattern of pulmonary blood supply and pulmonary venous connection were correctly identified with echocardiography in all but one patient, who was erroneously considered to be in group 2. No false-positive of the "favorable pattern" (group 1) was detected. Echocardiography is an effective tool in infants with PAVSD, in order to discriminate cases with "favorable" and "unfavorable" patterns of pulmonary arteries, pulmonary blood supply, and pulmonary veins. The first group with the "favorable pattern" may be considered for systemic-to-pulmonary shunt surgery without angiocardiography. Based on this experience from January to December 1989, four patients with this "favorable pattern" underwent a successful systemic-to-pulmonary artery shunt with an echocardiographic diagnosis alone. |
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Authors:
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B Marino; L Pasquini; P Guccione; S Giannico; M Bevilacqua; C Marcelletti |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Chest Volume: 99 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1991 Jan |
Date Detail:
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Created Date: 1991-02-07 Completed Date: 1991-02-07 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 158-61 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesú Hospital, Rome, Italy. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angiocardiography Echocardiography* Female Heart Catheterization Heart Septal Defects, Ventricular / radiography, surgery, ultrasonography* Humans Infant Infant, Newborn Male Palliative Care Pulmonary Artery / surgery Pulmonary Valve / abnormalities* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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