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.
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References
Yang S Y. Pediatric cardiology. Edition 2, Beijing: People's Health Publication, 1994, 225.
Wang X F. Textbook of echocardiography. 2nd Ed. Beijing: People's Health Publication, 1999, 701.
Huhta J C, Gutqesell H P, Nihill M R. Cross-sectional echocardiographic diagnosis of total anomalous pulmonary venous connection. Br Heart J, 1985, 53: 525
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: 1413
na Aet al. Echocardiographic diagnosis of total anomalous pulmonary venous connection. Am Heart J 1993, 126: 433
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: 197
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XIE Mingxing, male, born in 1964, Professor
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Mingxing, X., Xiaofang, L., Xinfang, W. et al. Echocardiographic diagnosis of total anomalous pulmonary venous connection. Current Medical Science 24, 192–195 (2004). https://doi.org/10.1007/BF02885427
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DOI: https://doi.org/10.1007/BF02885427