PMID: 2419380Mar 1, 1986Paper

Hypoplastic left heart syndrome: is echocardiography accurate enough to guide surgical palliation?

Journal of the American College of Cardiology
S E BashD A Ott

Abstract

Two-dimensional echocardiography can diagnose hypoplastic left heart syndrome. However, with the advent of the possibility of palliative open heart surgery, complete anatomic diagnosis is necessary. The anatomic findings of 15 neonates with hypoplastic left heart syndrome (age 1 to 10 days, mean 4.1) who had two-dimensional Doppler echocardiographic studies were compared with the results obtained by angiography (6 cases), surgery (11 cases) and autopsy (8 cases). Complete two-dimensional echocardiographic examination of the aortic arch, pulmonary and systemic venous return, atrial septum, ductus arteriosus and proximal coronary arteries was possible in all 15 neonates and correctly diagnosed hypoplastic left heart syndrome in each. Anatomic two-dimensional echocardiographic assessment was accurate in 13 (86%) of the 15 neonates and there were no false positive results. Undiagnosed associated abnormalities were hypoplasia of a left pulmonary artery in one patient and left superior vena cava in another. Accurate quantitation of the size of the tricuspid valve anulus, ascending aorta, pulmonary anulus and right and left pulmonary arteries was possible. Doppler examination was performed in seven patients and confirmed retrograde ao...Continue Reading

References

Jan 1, 1980·The American Journal of Cardiology·W I NorwoodS P Sanders
Dec 1, 1983·American Heart Journal·R L Van der HorstF O Eckner
Sep 1, 1984·Journal of the American College of Cardiology·J C HuhtaH P Gutgesell
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Citations

Aug 1, 1991·Journal of the American College of Cardiology·G TulzerJ C Huhta
Feb 6, 1999·Journal of the American College of Cardiology·W TworetzkyN H Silverman
Oct 1, 1991·American Journal of Obstetrics and Gynecology·G M JacksonA W Cohen
Jul 1, 1989·The Annals of Thoracic Surgery·R A GustafsonG E Rozar
Jan 1, 1988·The American Journal of Cardiology·E T AlbolirasA J Tajik
May 1, 1987·British Heart Journal·R N LoM Aung-Khin

Related Concepts

Ascending Aorta Structure
Aortic Valve Structure
Autopsy
2D Echocardiography
Congenital Heart Defects
Left Ventricular Structure
Mitral Valve
Palliative Surgery
Pulmonary Artery Structure

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