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

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 aortic arch flow and right to left systolic shunting in the patent ductus arteriosus. In selected neonates, surgical palliation can be attempted without angiography.

journal_name

J Am Coll Cardiol

journal_title

Journal of the American College of Cardiology

authors

Bash SE,Huhta JC,Vick GW 3rd,Gutgesell HP,Ott DA

doi

10.1016/s0735-1097(86)80472-7

subject

Has Abstract

pub_date

1986-03-01 00:00:00

pages

610-6

issue

3

eissn

0735-1097

issn

1558-3597

pii

S0735-1097(86)80472-7

journal_volume

7

pub_type

杂志文章

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