Document Detail


Two-dimensional Doppler color flow mapping in congenital heart disease.
MedLine Citation:
PMID:  3780074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The development of a system that images intracardiac anatomy cross-sectionally while simultaneously displaying intracardiac blood flow in realtime has the potential of increasing diagnostic capabilities in the evaluation of congenital heart lesions. This would translate into the ability to visualize intracardiac lesions not identified by standard M-mode, two dimensional (2-D), pulsed, and continuous wave Doppler modalities. A review of 1000 consecutive studies in our laboratory was performed. Doppler color flow mapping was performed in each case after complete segmental analysis by 2-D and Doppler echo. Identification of intracardiac lesions or abnormalities of blood flow by Doppler color flow mapping, not appreciated on routine 2-D/Doppler studies included ventricular septal defect (VSD) (n = 24), atrial septal defect (n = 4), mitral regurgitation (n = 13), tricuspid regurgitation after VSD closure (n = 5), tricuspid regurgitation in association with atrial septal defect (ASD) (n = 7), residual ventricular septal defect after surgery (n = 10), pulmonary insufficiency (n = 4), aortic insufficiency (n = 4), and patent Blalock-Taussig shunt (n = 2). Identification of multiple ventricular septal defects in two patients and the presence of a large left-to-right shunt across an atrial septal defect in the presence of septal aneurysm formation was also aided by Doppler color flow. Use of color flow to identify areas of maximal velocity and turbulence greatly enhanced continuous wave Doppler measurements by directing placement of the Doppler beam within the flow areas.
Authors:
S B Ritter
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical cardiology     Volume:  9     ISSN:  0160-9289     ISO Abbreviation:  Clin Cardiol     Publication Date:  1986 Dec 
Date Detail:
Created Date:  1987-01-21     Completed Date:  1987-01-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7903272     Medline TA:  Clin Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  591-6     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Color*
Ductus Arteriosus, Patent / diagnosis,  physiopathology
Echocardiography / methods*
Heart Defects, Congenital / diagnosis*,  physiopathology
Heart Septal Defects, Atrial / diagnosis,  physiopathology
Heart Septal Defects, Ventricular / diagnosis,  physiopathology
Heart Valve Diseases / diagnosis,  physiopathology
Hemodynamics
Humans
Infant
Infant, Newborn

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


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