Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-26T17:03:55.634Z Has data issue: false hasContentIssue false

Changes in tissue Doppler characteristics in a patient with pulmonary atresia and intact ventricular septum

Published online by Cambridge University Press:  14 July 2006

Clifford L. Cua
Affiliation:
Department of Pediatrics, Section of Cardiology, Columbus Children's Hospital, Columbus, Ohio, United States of America
P. Bernadette Fenstermaker
Affiliation:
Department of Pediatrics, Section of Cardiology, Columbus Children's Hospital, Columbus, Ohio, United States of America
Peter C. Dyke II
Affiliation:
Department of Pediatrics, Section of Cardiology, Columbus Children's Hospital, Columbus, Ohio, United States of America

Abstract

Tissue Doppler measurements of the right and left lateral ventricular walls were made before and after perforation of the pulmonary valve using radiofrequency energy in a patient with pulmonary atresia and intact ventricular septum. The ratio of peak tissue velocity during rapid ventricular filling to atrial contraction increased for both atrioventricular valves after perforation of the pulmonary valve, and the patient was able to be weaned off prostaglandins without further intervention. Such measurements made using tissue Doppler may aid in the management of patients with pulmonary atresia and intact ventricular septum by predicting improvements in right ventricular relaxation.

Type
Brief Report
Copyright
© 2006 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Daubeney PE, Delany DJ, Anderson RH, et al. Pulmonary atresia with intact ventricular septum: range of morphology in a population-based study. J Am Coll Cardiol 2002; 39: 16701679.Google Scholar
Hijazi ZM, Patel H, Cao QL, Warner K. Transcatheter retrograde radio-frequency perforation of the pulmonic valve in pulmonary atresia with intact ventricular septum, using a 2 French catheter. Cathet Cardiovasc Diagn 1998; 45: 151154.Google Scholar
Justo RN, Nykanen DG, Williams WG, Freedom RM, Benson LN. Transcatheter perforation of the right ventricular outflow tract as initial therapy for pulmonary valve atresia and intact ventricular septum in the newborn. Cathet Cardiovasc Diagn 1997; 40: 408413.Google Scholar
Dincer I, Kumbasar D, Nergisoglu G, et al. Assessment of left ventricular diastolic function with Doppler tissue imaging: effects of preload and place of measurements. Int J Cardiovasc Imaging 2002; 18: 155160.Google Scholar
Nagueh SF, Bachinski LL, Meyer D, et al. Tissue Doppler imaging consistently detects myocardial abnormalities in patients with hypertrophic cardiomyopathy and provides a novel means for an early diagnosis before and independently of hypertrophy. Circulation 2001; 104: 128130.Google Scholar
Dandel M, Hummel M, Wellnhofer E, Muller J, Hetzer R. Tissue Doppler imaging for the assessment of systolic and diastolic ventricular function. J Am Soc Echocardiogr 2002; 15: 478.Google Scholar
Garcia MJ, Thomas JD. Tissue Doppler to assess diastolic left ventricular function. Echocardiography 1999; 16: 501508.Google Scholar
Yoshimura N, Yamaguchi M, Ohashi H, et al. Pulmonary atresia with intact ventricular septum: strategy based on right ventricular morphology. J Thorac Cardiovasc Surg 2003; 126: 14171426.Google Scholar
Hanley FL, Sade RM, Blackstone EH, Kirklin JW, Freedom RM, Nanda NC. Outcomes in neonatal pulmonary atresia with intact ventricular septum. A multiinstitutional study. J Thorac Cardiovasc Surg 1993; 105: 406423, 424–427; discussion 423424.Google Scholar