Document Detail

Two-dimensional and pulsed Doppler echocardiography in the postoperative evaluation of total anomalous pulmonary venous connection.
MedLine Citation:
PMID:  3608119     Owner:  NLM     Status:  MEDLINE    
The role of combined two-dimensional and pulsed Doppler echocardiography in the postoperative assessment of patients with total anomalous pulmonary venous connection was evaluated. Twenty-two cases with a median age of 9.5 weeks at the initial examination were evaluated. Serial ultrasound examinations were performed throughout the study period. The ultrasound results were compared with chest radiographs obtained during the same period. Of the 22 patients, 16 had normal pulmonary venous flow profiles characterized by low-velocity laminar flow. Of this group 12 had persistent radiographic postoperative pulmonary edema that cleared in all by 4 months. Six patients with pulmonary venous obstruction were identified, the diagnosis being confirmed at catheterization or autopsy. The venous flow pattern in this group was uniformly high velocity and turbulent. It was possible to localize the site of obstruction in each case. Although pulmonary edema was present in each patient, the chest radiograph did not provide reliable information as to the exact site of obstruction. Combined two-dimensional and Doppler echocardiography is a useful adjunct in the postoperative evaluation of patients with total anomalous pulmonary venous connection.
J F Smallhorn; P Burrows; G Wilson; J Coles; D L Gilday; R M Freedom
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Circulation     Volume:  76     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1987 Aug 
Date Detail:
Created Date:  1987-09-09     Completed Date:  1987-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  298-305     Citation Subset:  AIM; IM    
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MeSH Terms
Child, Preschool
Infant, Newborn
Postoperative Complications / diagnosis*
Pulmonary Edema / diagnosis,  etiology
Pulmonary Veins / abnormalities*,  surgery
Pulmonary Veno-Occlusive Disease / diagnosis,  etiology

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