Advertisement

Echocardiographic diagnosis of total anomalous pulmonary venous connection

  • Xie Mingxing
  • Lu Xiaofang
  • Wang Xinfang
  • Lu Qing
  • Yang Yali
Article
  • 31 Downloads

Summary

To investigate the value of echocardiography in the diagnosis of total anomalous pulmonary venous connection (TAPVC), 16 patients in our hospital were diagnosed to have TAPVC by echocardiography from year 1994 to 2001. In 11 cases the results of echocardiography were compared to those of surgery. Each patient was examined by using a combination of precordial, suprasternal and subcostal windows to visualize all the pulmonary veins and their drainage sites, common pulmonary venous trunk, and other associated abnormalities. Of the 16 cases, the drainage sites were as follow: supracardiac in 10, via vertical vein in 9, directly to superior vena cava in 1; cardiac in 5, via coronary sinus in 2, directly to right atrium in 3. Diagnoses were correctly made in all the 11 cases as confirmed by surgery. Echocardiography can also assess pulmonary arterial pressure and detect other associated abnormalities. It is concluded that echocardiography is the preferred examination method in the diagnosis of TAPVC before surgery. With careful examination using multiple windows and sections, TAPVC can be accurately diagnosed by echocardiography.

Key words

echocardiography total anomalous pulmonary venous connection 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Yang S Y. Pediatric cardiology. Edition 2, Beijing: People's Health Publication, 1994, 225.Google Scholar
  2. 2.
    Wang X F. Textbook of echocardiography. 2nd Ed. Beijing: People's Health Publication, 1999, 701.Google Scholar
  3. 3.
    Huhta J C, Gutqesell H P, Nihill M R. Cross-sectional echocardiographic diagnosis of total anomalous pulmonary venous connection. Br Heart J, 1985, 53: 525PubMedCrossRefGoogle Scholar
  4. 4.
    Smallhorn J F, Freedom R M. Pulsed Doppler echocardiography in the preoperative evaluation of Total anomalous pulmonary venous connection. J Am Coll Cardio, 1986, 8: 1413CrossRefGoogle Scholar
  5. 5.
    na Aet al. Echocardiographic diagnosis of total anomalous pulmonary venous connection. Am Heart J 1993, 126: 433CrossRefGoogle Scholar
  6. 6.
    Marino B, Corno A, Carotti Aet al. Pediatric cardiac surgery guided by echocardiography. Established indications and new trends. Scand J Thorac Cardiovasc Surg, 1990, 24: 197PubMedGoogle Scholar

Copyright information

© Springer 2004

Authors and Affiliations

  • Xie Mingxing
    • 1
  • Lu Xiaofang
    • 1
  • Wang Xinfang
    • 1
  • Lu Qing
    • 1
  • Yang Yali
    • 1
  1. 1.Department of Diagnostic Ultrasound, Union Hospital, Tongji Medical CollegeHuazhong University of Science and TechnologyWuhanChina

Personalised recommendations