가천의대길병원소아심장과최덕영 PA C IVS THE EVALUATION AND PRINCIPLES OF TREATMENT STRATEGY
|
|
|
- Bernadette Lee
- 5 years ago
- Views:
Transcription
1 가천의대길병원소아심장과최덕영 PA C IVS THE EVALUATION AND PRINCIPLES OF TREATMENT STRATEGY
2 PA c IVS (not only pulmonary valve disease) Edwards JE. Pathologic Alteration of the right heart. In: Konstam MA, Isner M, eds. The right ventricle. The Hague: Martinus Nijhoff, 1987
3 Pathophysiology Atretic pulmonary valve with diaphragmatic membrane (80%) Infundibular atresia (20%) Annulus and MPA hypoplastic or normal RV size varies and related to survival Coronary artery anomaly (ventriculocoronary connection, coronary sinusoid, proximal coronary artery obstruction) Interatrial communication, PDA essential
4 Evaluation Echocardiography Cardiac catheterization
5 Echocardiography Atretic pulmonic valve Doppler evidence RV hypertrophy, small cavity TV size measure ASD (or Rt to Lt shunt PFO), PDA Branch PA Coronary circulation
6 Echocardiography Integral tool for the diagnosis fetus and neonate Segmental analysis Systemic, pulmonary venous return (bilateral SVC, interruption of IVC with azygous communication important Glenn, Fontan) Atrial communication Rtto Lt, obstruction (5 10%) TV morph. size RV size, coronary anomaly, RV growth (correlation) Drant SE. Pediatr Cardiol 2001
7 Echocardiography(TV evaluation) Hypoplasia of valve annulus Shortening and thickening of the chordae Myxoid change of the leaflets Drant SE. Pediatr Cardiol 2001
8 Echocardiography(TV evaluation) TV annulus Z score ; closely correlated to RV size and RV to coronary communication Doppler study ; tricuspid inflow signals with decreasing of the color scale ; tricuspid insufficiency jet velocity estimate the RV pressure Hanley FL et al. J Thorac Cardiovasc Surg 1993 Drant SE. Pediatr Cardiol 2001
9 Standard score (Z score) Indicates how many standard deviations an observation is above or below the mean
10 TV Z score Daubeney et al. JACC 2002 Kirklin JW. Cardiac Surgery. 2 nd ed p30
11 Tricuspid valve size TV Z score 2.5 for BSA, tricuspid/mitral valve ratio 0.7 ; no risk of RV dependent coronary circulation, achieving biventricular repair Highly associated with survival rate among the biventricular repair group Z score > 2.4 for BSA ; biventricular repair McCaffrey FM et al. J Thorac Cardiovasc Surg 1991 De Leval M et al. Circulation 1985 Bull C et al. J Thorac Cardiovasc Surg 1994
12 Echocardiography (RV) 3 portions of RV (inlet, trabecular, infuldibulum) 3 types ; Tripartite, Bipartite, monopartite RV size highly correlated with TV size Park MK. Pediatric Cardiology 5 th ed. P 265
13 RV size and morphology Quantitative assessment ; RV volume in subcostal coronal and sagittal view (by biplane Simpson s rule) Qualitative assessment ; RV inflow portion compare with LV (apical view) The patency and size of RV outflow tract ; important for RV to coronary communication and successful decompression Trowitzsh E et al. J Am Coll Cardiol 1985 Billingsly AM et al. J Torac Cardiovasc Surg 1989 Mainwaring RD et al. J Thorac Surg 1993
14 Pulmonary valve, MPA, br.pa Parasternal views Atretic pulmonary valve, pinhole patency MPA, branches usually well developed, retrograde flow via ductus arteriosus Absence of PA AP collaterals, MAPCA PDA flow initial decision making of PGE1
15 Coronary circulation (RV communication) Emmel M et al. Heart 2004;90:94
16 Coronary circulation (RV communication) Most important determinants of early management RCA, LAD parasternal long, short axis Coronary angiography remains necessary to completely evaluation TV annulus size (Z score) and morphology of RV outflow tract (infundibulum) strong correlation Satou GM et al. Am J Cardiol 2000 Drant SE. Pediatr Cardiol 2001
17 Coronary circulation (pathology) RV coronary sinusoid (60 70%) RV coronary connection (45 55%) Coronary stenosis or interruption (10%) Absence of proximal aorto coronary connection (15%) One coronary artery from PA
18 RV dependent coronary circulation intrinsic coronary lesion (stenosis, interruption) proximal area the distal coronary flow completely RV dependent RV decompression lead to ischemia, infarction and death associated with diminutive and hypertensive ventricle, negative TV Z score, infundibular atresia, LVOTO and LV dysfunction on follow up Dyamenahalli U et al. Cardio Young 2004 박인숙. 선천성심장병 2 nd ed. p 547
19 Left side heart Mitral valve, LV wall motion apical, parasternal view Suprasystemic RV pressure, RV dependant coronary circulation ; LV wall motion abnormality, myocardial ischemia LV dysfunction, MV or AV anomaly rare
20 Fetal study Children s Hospital of LA, UCLA
21 Fetal study Sick Children Hospital, University of Toronto
22 Catheterization Hemodynamics RV, RA pressure and O2 sat RV angiogram RV morphology, size, coronary fistula Aortography arch, PDA, MAPCA, coronary angio Balloon valvotomy potential opening, check RV dependent coronary circulation
23 Treatment strategies Goal of treatment separate pulmonary and systemic circulation eliminate cyanosis without compromising cardiac output without inducing systemic venous hypertension Achieve by univentricular, biventricular, one and half ventricular repair Bichell DP. Curr Opin Cardiol 1999
24 Treatment Algorithm 박인숙. 선천성심장병 2 nd ed. p 556
25 Alwi M. Catheter Cardiovasc Interv. 2006
26 Post procedural evaluation Systemic to pulmonary shunt Post RV decompression
27 Systemic to pulmonary shunt Without RV decompression RV dependent coronary circulation Follow up focus patency of shunt and LV function Intimal proliferation at the sites of RV to coronary fistula LV dysfunction RV, TV do not grow (relative small)
28 Post RV decompression Early evaluation assessing need for additional shunt Adequacy of decompression and RV pressure Assessment of growth of the RV and TV Assessment of LV function Drant SE. Pediatr Cardiol 2001
29 Assessing need for additional shunt Early post op period elevated pulmonary vascular resistance and poor RV compliance limit pulmonary blood flow Prolonged use of PGE1 or additional shunt Echo predictors RV end diastolic volume, TV annulus diameter Hanley FL et al. J Thorac Cardiovasc Surg 1993 Trowitzsch E et al. J Am Coll Cardiol 1985
30 Adequacy of decompression and RV pressure Establishing patency of RV outflow tract and pulmonary valve 2D imaging from subcostal parasternal views Dynamic narrowing with systole (acute reduce of afterload) Quantified measurement of RVOT and pulmonary valve color Doppler (peak and mean pressure gradient) Measuring the peak gradient of TR jet
31 Assessment of growth of the RV and TV Check the early change of RVEDV, RV area ratio, stroke volume RV cross sectional area obtained from the ventricular length and width apical, subcostal 4 ch. View The change of TV annulus size Schmidt KG et al. J Am Coll Cardiol 1992 Hanseus K et al. Pediatr Cardiol 1991
32 Assessment of LV function RV dependent coronary circulation Progressive intimal hyperplasia within the coronary artery early LV dysfunction after RV decompression Unsuccessful RV decompression
33 Long term follow up evaluation
34 Int J Cardiol 2011
35 Long term follow up evaluation for PA c IVS echocardiography, EKG, Holter, MRI Int J Cardiol 2011
Imaging Assessment of the Pulmonary Valve in Stenosis/Atresia and Regurgitation
Imaging Assessment of the Pulmonary Valve in Stenosis/Atresia and Regurgitation Craig E Fleishman, MD FACC FASE The Heart Center at Arnold Palmer Hospital for Children SCAI Fall Fellows Course 2014 Las
What is the Definition of Small Systemic Ventricle. Hong Ryang Kil, MD Department of Pediatrics, College of Medicine, Chungnam National University
What is the Definition of Small Systemic Ventricle Hong Ryang Kil, MD Department of Pediatrics, College of Medicine, Chungnam National University Contents Introduction Aortic valve stenosis Aortic coarctation
Pediatric Echocardiography Examination Content Outline
Pediatric Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 Anatomy and Physiology Normal Anatomy and Physiology 10% 2 Abnormal Pathology and Pathophysiology
Hypoplastic Left Heart Syndrome: Echocardiographic Assessment
Hypoplastic Left Heart Syndrome: Echocardiographic Assessment Craig E Fleishman, MD, FACC, FASE Director, Non-invasive Cardiac Imaging The Hear Center at Arnold Palmer Hospital for Children, Orlando SCAI
Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016
1 Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016 DISCLOSURES I have no disclosures relevant to today s talk 2 Why should all echocardiographers
Preoperative Echocardiographic Assessment of Uni-ventricular Repair
Preoperative Echocardiographic Assessment of Uni-ventricular Repair Salem Deraz, MD Pediatric Cardiologist, Aswan Heart Centre Magdi Yacoub Heart Foundation Uni-ventricular repair A single or series of
Mitral Valve Disease, When to Intervene
Mitral Valve Disease, When to Intervene Swedish Heart and Vascular Institute Ming Zhang MD PhD Interventional Cardiology Structure Heart Disease Conflict of Interest None Current ACC/AHA guideline Stages
Prenatal Predictors of Postnatal Outcome in Pulmonary Atresia with Intact Ventricular Septum: A Multicenter Study
Fetal Heart Society Concept Research Proposal Date: 10/20/15 Main Study Prenatal Predictors of Postnatal Outcome in Pulmonary Atresia with Intact Ventricular Septum: A Multicenter Study Shaji C. Menon,
Cardiac Catheterization Cases Primary Cardiac Diagnoses Facility 12 month period from to PRIMARY DIAGNOSES (one per patient)
PRIMARY DIAGNOSES (one per patient) Septal Defects ASD (Atrial Septal Defect) PFO (Patent Foramen Ovale) ASD, Secundum ASD, Sinus venosus ASD, Coronary sinus ASD, Common atrium (single atrium) VSD (Ventricular
Giovanni Di Salvo MD, PhD, FESC Second University of Naples Monaldi Hospital
Giovanni Di Salvo MD, PhD, FESC Second University of Naples Monaldi Hospital VSD is one of the most common congenital cardiac abnormalities in the newborn. It can occur as an isolated finding or in combination
Appendix II: ECHOCARDIOGRAPHY ANALYSIS
Appendix II: ECHOCARDIOGRAPHY ANALYSIS Two-Dimensional (2D) imaging was performed using the Vivid 7 Advantage cardiovascular ultrasound system (GE Medical Systems, Milwaukee) with a frame rate of 400 frames
COMPREHENSIVE EVALUATION OF FETAL HEART R. GOWDAMARAJAN MD
COMPREHENSIVE EVALUATION OF FETAL HEART R. GOWDAMARAJAN MD Disclosure No Relevant Financial Relationships with Commercial Interests Fetal Echo: How to do it? Timing of Study -optimally between 22-24 weeks
Most common fetal cardiac anomalies
Most common fetal cardiac anomalies Common congenital heart defects CHD % of cardiac defects Chromosomal Infants Fetuses anomaly (%) 22q11 deletion (%) VSD 30 5~10 20~40 10 PS 9 5 (PA w/ VSD) HLHS 7~9
Cardiac Intervention in Fetus. Gyeong-hee Yoo, M.D. Department of Pediatrics Soonchunhyang University Cheonan Hospital
10 1111 Cardiac Intervention in Fetus Gyeong-hee Yoo, M.D. Department of Pediatrics Soonchunhyang University Cheonan Hospital Fetal echocardiography Serial f/u intrauterine course of disease Cardiac anomaly
HISTORY. Question: What category of heart disease is suggested by the fact that a murmur was heard at birth?
HISTORY 23-year-old man. CHIEF COMPLAINT: Decreasing exercise tolerance of several years duration. PRESENT ILLNESS: The patient is the product of an uncomplicated term pregnancy. A heart murmur was discovered
3/14/2011 MANAGEMENT OF NEWBORNS CARDIAC INTENSIVE CARE CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 WITH HEART DEFECTS
CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 MANAGEMENT OF NEWBORNS WITH HEART DEFECTS A NTHONY C. CHANG, MD, MBA, MPH M E D I C AL D I RE C T OR, HEART I N S T I T U T E C H I LDRE N
Deok Young Choi, Gil Hospital, Gachon University NEONATES WITH EBSTEIN S ANOMALY: PROBLEMS AND SOLUTION
Deok Young Choi, Gil Hospital, Gachon University NEONATES WITH EBSTEIN S ANOMALY: PROBLEMS AND SOLUTION Carpentier classification Chauvaud S, Carpentier A. Multimedia Manual of Cardiothoracic Surgery 2007
Congenital Heart Defects
Normal Heart Congenital Heart Defects 1. Patent Ductus Arteriosus The ductus arteriosus connects the main pulmonary artery to the aorta. In utero, it allows the blood leaving the right ventricle to bypass
Cardiac MRI in ACHD What We. ACHD Patients
Cardiac MRI in ACHD What We Have Learned to Apply to ACHD Patients Faris Al Mousily, MBChB, FAAC, FACC Consultant, Pediatric Cardiology, KFSH&RC/Jeddah Adjunct Faculty, Division of Pediatric Cardiology
How to Assess and Treat Obstructive Lesions
How to Assess and Treat Obstructive Lesions Erwin Oechslin, MD, FESC, FRCPC, Director, Congenital Cardiac Centre for Adults Peter Munk Cardiac Centre University Health Network/Toronto General Hospital
MITRAL STENOSIS. Joanne Cusack
MITRAL STENOSIS Joanne Cusack BSE Breakdown Recognition of rheumatic mitral stenosis Qualitative description of valve and sub-valve calcification and fibrosis Measurement of orifice area by planimetry
ADULT CONGENITAL HEART DISEASE. Stuart Lilley
ADULT CONGENITAL HEART DISEASE Stuart Lilley More adults than children have congenital heart disease Huge variety of congenital lesions from minor to major Heart failure, re-operation and arrhythmia are
ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT
ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT Karen Stout, MD, FACC Divisions of Cardiology University of Washington Medical Center Seattle Children s Hospital NO DISCLOSURES
Atrial Septal Defects
Supplementary ACHD Echo Acquisition Protocol for Atrial Septal Defects The following protocol for echo in adult patients with atrial septal defects (ASDs) is a guide for performing a comprehensive assessment
Congenital Heart Disease An Approach for Simple and Complex Anomalies
Congenital Heart Disease An Approach for Simple and Complex Anomalies Michael D. Pettersen, MD Director, Echocardiography Rocky Mountain Hospital for Children Denver, CO None Disclosures 1 ASCeXAM Contains
Data Collected: June 17, Reported: June 30, Survey Dates 05/24/ /07/2010
Job Task Analysis for ARDMS Pediatric Echocardiography Data Collected: June 17, 2010 Reported: Analysis Summary For: Pediatric Echocardiography Exam Survey Dates 05/24/2010-06/07/2010 Invited Respondents
Heart and Lungs. LUNG Coronal section demonstrates relationship of pulmonary parenchyma to heart and chest wall.
Heart and Lungs Normal Sonographic Anatomy THORAX Axial and coronal sections demonstrate integrity of thorax, fetal breathing movements, and overall size and shape. LUNG Coronal section demonstrates relationship
Avariety of conditions can prevent a successful biventricular
Which Two Ventricles Cannot Be Used for a Biventricular Repair? Echocardiographic Assessment Norman H. Silverman, MD, and Doff B. McElhinney, MD Division of Pediatric Cardiology, Department of Pediatrics,
List of Videos. Video 1.1
Video 1.1 Video 1.2 Video 1.3 Video 1.4 Video 1.5 Video 1.6 Video 1.7 Video 1.8 The parasternal long-axis view of the left ventricle shows the left ventricular inflow and outflow tract. The left atrium
The Fontan circulation. Folkert Meijboom
The Fontan circulation Folkert Meijboom What to expect? Why a Fontan-circulation Indications How does it work Types of Fontan circulation Historical overview Role of echocardiography What to expect? Why
Echocardiography in Congenital Heart Disease
Chapter 44 Echocardiography in Congenital Heart Disease John L. Cotton and G. William Henry Multiple-plane cardiac imaging by echocardiography can noninvasively define the anatomy of the heart and the
Adult Echocardiography Examination Content Outline
Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,
Hemodynamic Assessment. Assessment of Systolic Function Doppler Hemodynamics
Hemodynamic Assessment Matt M. Umland, RDCS, FASE Aurora Medical Group Milwaukee, WI Assessment of Systolic Function Doppler Hemodynamics Stroke Volume Cardiac Output Cardiac Index Tei Index/Index of myocardial
Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension
ESC Congress 2011.No 85975 Evaluation of Left Ventricular Diastolic Dysfunction by Doppler and 2D Speckle-tracking Imaging in Patients with Primary Pulmonary Hypertension Second Department of Internal
Doppler-echocardiographic findings in a patient with persisting right ventricular sinusoids
Zurich Open Repository and Archive University of Zurich Main Library Strickhofstrasse 39 CH-8057 Zurich www.zora.uzh.ch Year: 1990 Doppler-echocardiographic findings in a patient with persisting right
LEFT VENTRICULAR OUTFLOW OBSTRUCTION WITH A VSD: OPTIONS FOR SURGICAL MANAGEMENT
LEFT VENTRICULAR OUTFLOW OBSTRUCTION WITH A VSD: OPTIONS FOR SURGICAL MANAGEMENT 10-13 March 2017 Ritz Carlton, Riyadh, Saudi Arabia Zohair AlHalees, MD Consultant, Cardiac Surgery Heart Centre LEFT VENTRICULAR
Speckle Tracking Echocardiography in Congenital Heart Disease Transposition of Great Arteries
Speckle Tracking Echocardiography in Congenital Heart Disease Transposition of Great Arteries R. Marinov, St. Georgiev, Kr. Hristova National Heart Hospital Sofia, Bulgaria Cardiology Many patients Big
Echocardiographic Assessment of Neonates With Pulmonary Atresia and Intact Ventricular Septum
JA Vol 12, No, 3 719 chocardiographic Assessment of Neonates With Pulmonary Atresia and Intact Ventricular Septum MAURI P LUNG, MB BS, MRP, * R-KUNG MOK, MB BS, FRS, PING-WAI RUI, PHD Aberdeen, Hong Kong
Transposition of the Great Arteries Preoperative Diagnostic Considerations. John Simpson Evelina Children s Hospital London, UK
Transposition of the Great Arteries Preoperative Diagnostic Considerations John Simpson Evelina Children s Hospital London, UK Areas to be covered Definitions Scope of occurrence of transposition of the
TGA atrial vs arterial switch what do we need to look for and how to react
TGA atrial vs arterial switch what do we need to look for and how to react Folkert Meijboom, MD, PhD, FES Dept ardiology University Medical entre Utrecht The Netherlands TGA + atrial switch: Follow-up
2) VSD & PDA - Dr. Aso
2) VSD & PDA - Dr. Aso Ventricular Septal Defect (VSD) Most common cardiac malformation 25-30 % Types of VSD: According to position perimembranous, inlet, muscular. According to size small, medium, large.
CMR for Congenital Heart Disease
CMR for Congenital Heart Disease * Second-line tool after TTE * Strengths of CMR : tissue characterisation, comprehensive access and coverage, relatively accurate measurements of biventricular function/
Hybrid Stage I Palliation / Bilateral PAB
Hybrid Stage I Palliation / Bilateral PAB Jeong-Jun Park Dept. of Thoracic & Cardiovascular Surgery Asan Medical Center, University of Ulsan CASE 1 week old neonate with HLHS GA 38 weeks Birth weight 3.0Kg
Quantitative Assessment of Pulmonary Regurgitation by Echocardiography in Patients After Repaired TOF
Quantitative Assessment of Pulmonary Regurgitation by Echocardiography in Patients After Repaired TOF 2013. 4. 20. 서울대학교어린이병원소아청소년과 권보상 W. B. TOF (large VSD, infundibular stenosis) 19 mo, 8.5 kg Indication
Fig.1 Normal appearance of RV in SAX:
Tutorial 7 - Assessment of the right heart Assessment of the Right heart The right heart assessment clinically and echocardiographically is not a very important part of mainstream cardiology. In the ICU,
Echocardiographic assessment in Adult Patients with Congenital Heart Diseases
Echocardiographic assessment in Adult Patients with Congenital Heart Diseases Athanasios Koutsakis Cardiologist, Cl. Research Fellow George Giannakoulas Ass. Professor in Cardiology 1st Cardiology Department,
cardiac imaging planes planning basic cardiac & aortic views for MR
cardiac imaging planes planning basic cardiac & aortic views for MR Dianna M. E. Bardo, M. D. Assistant Professor of Radiology & Cardiovascular Medicine Director of Cardiac Imaging cardiac imaging planes
Congenital heart disease: When to act and what to do?
Leading Article Congenital heart disease: When to act and what to do? Duminda Samarasinghe 1 Sri Lanka Journal of Child Health, 2010; 39: 39-43 (Key words: Congenital heart disease) Congenital heart disease
Little is known about the degree and time course of
Differential Changes in Regional Right Ventricular Function Before and After a Bilateral Lung Transplantation: An Ultrasonic Strain and Strain Rate Study Virginija Dambrauskaite, MD, Lieven Herbots, MD,
Introduction. Study Design. Background. Operative Procedure-I
Risk Factors for Mortality After the Norwood Procedure Using Right Ventricle to Pulmonary Artery Shunt Ann Thorac Surg 2009;87:178 86 86 Addressor: R1 胡祐寧 2009/3/4 AM7:30 SICU 討論室 Introduction Hypoplastic
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES. Axial Anatomy of Heart. Axial Anatomy of Heart. Axial Anatomy of Heart
CARDIAC AND CORONARY ARTERY ANATOMY NO DISCLOSURES NASCI MEETING, ORLANDO FLORIDA 2009 KOSTAKI G. BIS, MD, FACR DEPARTMENT OF RADIOLOGY WILLIAM BEAUMONT HOSPITAL Royal Oak, Michigan OBJECTIVES CARDIAC
PROSTHETIC VALVE BOARD REVIEW
PROSTHETIC VALVE BOARD REVIEW The correct answer D This two chamber view shows a porcine mitral prosthesis with the typical appearance of the struts although the leaflets are not well seen. The valve
British Society of Echocardiography
British Society of Echocardiography Affiliated to the British Cardiac Society A Minimum Dataset for a Standard Adult Transthoracic Echocardiogram From the British Society of Echocardiography Education
Hemodynamic assessment after palliative surgery
THERAPY AND PREVENTION CONGENITAL HEART DISEASE Hemodynamic assessment after palliative surgery for hypoplastic left heart syndrome PETER LANG, M.D., AND WILLIAM I. NORWOOD, M.D., PH.D. ABSTRACT Ten patients
Uncommon Doppler Echocardiographic Findings of Severe Pulmonic Insufficiency
Uncommon Doppler Echocardiographic Findings of Severe Pulmonic Insufficiency Rahul R. Jhaveri, MD, Muhamed Saric, MD, PhD, FASE, and Itzhak Kronzon, MD, FASE, New York, New York Background: Two-dimensional
Tricuspid and Pulmonic Valve Disease
Chapter 31 Tricuspid and Pulmonic Valve Disease David A. Tate Acquired disease of the right-sided cardiac valves is much less common than disease of the leftsided counterparts, possibly because of the
The background of the Cardiac Sonographer Network News masthead is a diagnostic image:
Number 5 Welcome Number 5 Welcome to the newsletter created just for you: sonographers who perform pediatric echocardiograms in primarily adult echo labs. Each issue features tips on echocardiography of
Percutaneous Balloon Valvotomy in Pulmonary Atresia With Intact Ventricular Septum. Impact on Patient Care
Percutaneous Balloon Valvotomy in Pulmonary Atresia With Intact Ventricular Septum Impact on Patient Care Tilman Humpl, MD; Björn Söderberg, MD; Brian W. McCrindle, MD, FRCPC; David G. Nykanen, MD, FRCPC;
5.8 Congenital Heart Disease
5.8 Congenital Heart Disease Congenital heart diseases (CHD) refer to structural or functional heart diseases, which are present at birth. Some of these lesions may be discovered later. prevalence of Chd
Mid-term Result of One and One Half Ventricular Repair in a Patient with Pulmonary Atresia and Intact Ventricular Septum
Mid-term Result of One and One Half Ventricular Repair in a Patient with Pulmonary Atresia and Intact Ventricular Septum Kagami MIYAJI, MD, Akira FURUSE, MD, Toshiya OHTSUKA, MD, and Motoaki KAWAUCHI,
Pathophysiology: Left To Right Shunts
Pathophysiology: Left To Right Shunts Daphne T. Hsu, MD dh17@columbia.edu Learning Objectives Learn the relationships between pressure, blood flow, and resistance Review the transition from fetal to mature
Cardiac ultrasound protocols
Cardiac ultrasound protocols IDEXX Telemedicine Consultants Two-dimensional and M-mode imaging planes Right parasternal long axis four chamber Obtained from the right side Displays the relative proportions
Congenital Heart Disease
Congenital Heart Disease Mohammed Alghamdi, MD, FRCPC, FAAP, FACC Associate Professor and Consultant Pediatric Cardiology, Cardiac Science King Fahad Cardiac Centre King Saud University INTRODUCTION CHD
An understanding of the many factors involved in the
Atrioventricular Valve Dysfunction: Evaluation by Doppler and Cross-Sectional Ultrasound Norman H. Silverman, MD, and Doff B. McElhinney, MD Division of Pediatric Cardiology, Department of Pediatrics,
IMAGES. in PAEDIATRIC CARDIOLOGY. Abstract. Case
IMAGES in PAEDIATRIC CARDIOLOGY Images PMCID: PMC3232604 Isolated subpulmonary membrane causing critical neonatal pulmonary stenosis with concordant atrioventricular and ventriculoarterial connections
Double outlet right ventricle: navigation of surgeon to chose best treatment strategy
Double outlet right ventricle: navigation of surgeon to chose best treatment strategy Jan Marek Great Ormond Street Hospital & Institute of Cardiovascular Sciences, University College London Double outlet
CONGENITAL HEART DISEASE (CHD)
CONGENITAL HEART DISEASE (CHD) DEFINITION It is the result of a structural or functional abnormality of the cardiovascular system at birth GENERAL FEATURES OF CHD Structural defects due to specific disturbance
Pathophysiology: Left To Right Shunts
Pathophysiology: Left To Right Shunts Daphne T. Hsu, MD dh17@columbia.edu Learning Objectives Learn the relationships between pressure, blood flow, and resistance Review the transition from fetal to mature
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS Pediatric Cardiology
Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of
Complex Congenital Heart Disease in Adults
Complex Congenital Heart Disease in Adults Linda B. Haramati, MD Disclosures Complex Congenital Heart Disease in Adults Linda B. Haramati MD, MS Jeffrey M. Levsky MD, PhD Meir Scheinfeld MD, PhD Department
Right Heart Evaluation ASE Guidelines Review. Chris Mann RDCS, RCS, FASE Faculty, Echocardiography Pitt Community College Greenville, NC
Right Heart Evaluation ASE Guidelines Review Chris Mann RDCS, RCS, FASE Faculty, Echocardiography Pitt Community College Greenville, NC Objectives Briefly review right atrial and right ventricular anatomy
HISTORY. Question: What type of heart disease is suggested by this history? CHIEF COMPLAINT: Decreasing exercise tolerance.
HISTORY 15-year-old male. CHIEF COMPLAINT: Decreasing exercise tolerance. PRESENT ILLNESS: A heart murmur was noted in childhood, but subsequent medical care was sporadic. Easy fatigability and slight
The management of patients born with multiple left heart
Predictors of Outcome of Biventricular Repair in Infants With Multiple Left Heart Obstructive Lesions Marcy L. Schwartz, MD; Kimberlee Gauvreau, ScD; Tal Geva, MD Background Decisions regarding surgical
FUNCTIONALLY SINGLE VENTRICLE
MORPHOLOGICAL DETERMINANTS VI TRAN EuroEcho, Budapest, 7 th December 2011 DECLARATION OF CONFLICT OF INTEREST: I have nothing to declare What is the functionally single ventricle? The heart that is incapable
Go With The Flow: Role of 4D Flow Imaging
4D Flow Go With The Flow: Role of 4D Flow Imaging Niti R. Aggarwal, MD Associate Director of Cardiac MRI Assistant Professor of Medicine & Radiology University of Wisconsin Madison Disclosures GE Healthcare
The Doppler Examination. Katie Twomley, MD Wake Forest Baptist Health - Lexington
The Doppler Examination Katie Twomley, MD Wake Forest Baptist Health - Lexington OUTLINE Principles/Physics Use in valvular assessment Aortic stenosis (continuity equation) Aortic regurgitation (pressure
Failing right ventricle
Failing right ventricle U. Herberg 1, U. Gembruch 2 1 Pediatric Cardiology, 2 Prenatal Diagnostics and Fetal Therapy, University of Bonn, Germany Prenatal Physiology Right ventricle dominant ventricle
JOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis
JOINT MEETING 2 Tricuspid club Chairpersons: G. Athanassopoulos, A. Avgeropoulou, M. Khoury, G. Stavridis Similarities and differences in Tricuspid vs. Mitral Valve Anatomy and Imaging. Echo evaluation
Echo Doppler Assessment of Right and Left Ventricular Hemodynamics.
Echo Doppler Assessment of Right and Left Ventricular Hemodynamics. Itzhak Kronzon, MD, FASE, FACC, FESC, FAHA, FACP, FCCP Northwell, Lenox Hill Hospital, New York Professor of Cardiology Hofstra University
The Double Switch Using Bidirectional Glenn and Hemi-Mustard. Frank Hanley
The Double Switch Using Bidirectional Glenn and Hemi-Mustard Frank Hanley No relationships to disclose CCTGA Interesting Points for Discussion What to do when. associated defects must be addressed surgically:
Foetal Cardiology: How to predict perinatal problems. Prof. I.Witters Prof.M.Gewillig UZ Leuven
Foetal Cardiology: How to predict perinatal problems Prof. I.Witters Prof.M.Gewillig UZ Leuven Cardiopathies Incidence : 8-12 / 1000 births ( 1% ) Most frequent - Ventricle Septum Defect 20% - Atrium Septum
Comprehensive Hemodynamics By Doppler Echocardiography. The Echocardiographic Swan-Ganz Catheter.
Comprehensive Hemodynamics By Doppler Echocardiography. The Echocardiographic Swan-Ganz Catheter. Itzhak Kronzon, MD, FASE, FACC, FESC, FAHA, FACP, FCCP North Shore HS, LIJ/Lenox Hill Hospital, New York
Balloon Valvuloplasty Through the Right Ventricle: Another Treatment of Pulmonary Atresia With Intact Ventricular Septum
Balloon Valvuloplasty Through the Right Ventricle: Another Treatment of Pulmonary Atresia With Intact Ventricular Septum Qian-zhen Li, MD, Hua Cao, MD, Qiang Chen, MD, Gui-Can Zhang, MD, Liang-Wan Chen,
HEMODYNAMIC ASSESSMENT
HEMODYNAMIC ASSESSMENT INTRODUCTION Conventionally hemodynamics were obtained by cardiac catheterization. It is possible to determine the same by echocardiography. Methods M-mode & 2D echo alone can provide
Echocardiographic Evaluation of the Cardiomyopathies. Stephanie Coulter, MD, FACC, FASE April, 2016
Echocardiographic Evaluation of the Cardiomyopathies Stephanie Coulter, MD, FACC, FASE April, 2016 Cardiomyopathies (CMP) primary disease intrinsic to cardiac muscle Dilated CMP Hypertrophic CMP Infiltrative
Index of subjects. effect on ventricular tachycardia 30 treatment with 101, 116 boosterpump 80 Brockenbrough phenomenon 55, 125
145 Index of subjects A accessory pathways 3 amiodarone 4, 5, 6, 23, 30, 97, 102 angina pectoris 4, 24, 1l0, 137, 139, 140 angulation, of cavity 73, 74 aorta aortic flow velocity 2 aortic insufficiency
Balloon Valvuloplasty and RF Perforation for PA-IVS and Critical Pulmonary Stenosis
Balloon Valvuloplasty and RF Perforation for PA-IVS and Critical Pulmonary Stenosis Daniel Levi, MD, FSCAI Associate Professor of Pediatrics UCLA Biomedical Engineering Mattel Children s Hospital at UCLA,
MRI (AND CT) FOR REPAIRED TETRALOGY OF FALLOT
MRI (AND CT) FOR REPAIRED TETRALOGY OF FALLOT Linda B Haramati MD, MS Departments of Radiology and Medicine Bronx, New York OUTLINE Pathogenesis Variants Initial surgical treatments Basic MR protocols
Imaging Assessment of Aortic Stenosis/Aortic Regurgitation
Imaging Assessment of Aortic Stenosis/Aortic Regurgitation Craig E Fleishman, MD FACC FASE The Heart Center at Arnold Palmer Hospital for Children, Orlando SCAI Fall Fellows Course 2014 Las Vegas Disclosure
Case # 1. Page: 8. DUKE: Adams
Case # 1 Page: 8 1. The cardiac output in this patient is reduced because of: O a) tamponade physiology O b) restrictive physiology O c) coronary artery disease O d) left bundle branch block Page: 8 1.
Survival Rates of Children with Congenital Heart Disease continue to improve.
DOROTHY RADFORD Survival Rates of Children with Congenital Heart Disease continue to improve. 1940-20% 1960-40% 1980-70% 2010->90% Percentage of children with CHD reaching age of 18 years 1938 First Patent
P = 4V 2. IVC Dimensions 10/20/2014. Comprehensive Hemodynamic Evaluation by Doppler Echocardiography. The Simplified Bernoulli Equation
Comprehensive Hemodynamic Evaluation by Doppler Echocardiography Itzhak Kronzon, MD North Shore LIJ/ Lenox Hill Hospital New York, NY Disclosure: Philips Healthcare St. Jude Medical The Simplified Bernoulli
Quantitation of right ventricular dimensions and function
SCCS Basics of cardiac assessment Quantitation of right ventricular dimensions and function Tomasz Kukulski, MD PhD Dept of Cardiology, Congenital Heart Disease and Electrotherapy Silesian Medical University
Evaluation of the Right Ventricle in Candidates for Right Ventricular Assist Device Implantation.
Evaluation of the Right Ventricle in Candidates for Right Ventricular Assist Device Implantation. Evaluation of RVAD Function. Ioannis A Paraskevaidis Attikon University Hospital Historical Perspective
The Chest X-ray for Cardiologists
Mayo Clinic & British Cardiovascular Society at the Royal College of Physicians, London : 21-23-October 2013 Cases-Controversies-Updates 2013 The Chest X-ray for Cardiologists Michael Rubens Royal Brompton
Cardiac Emergencies in Infants. Michael Luceri, DO
Cardiac Emergencies in Infants Michael Luceri, DO October 7, 2017 I have no financial obligations or conflicts of interest to disclose. Objectives Understand the scope of congenital heart disease Recognize
POST GRADUATE DIPLOMA IN CLINICAL CARDIOLOGY (PGDCC) Term-End Examination June, 2012 MCC- 002: FUNDAMENTALS OF CARDIOVASCULAR SYSTEM - II
No. of Printed Pages :12 MCC-002 POST GRADUATE DIPLOMA IN CLINICAL CARDIOLOGY (PGDCC) Term-End Examination 00330 June, 2012 MCC- 002: FUNDAMENTALS OF CARDIOVASCULAR SYSTEM - II Time : 2 hours Maximum Marks
Doppler Basic & Hemodynamic Calculations
Doppler Basic & Hemodynamic Calculations August 19, 2017 Smonporn Boonyaratavej MD Division of Cardiology, Department of Medicine Chulalongkorn University Cardiac Center, King Chulalongkorn Memorial Hospital
When is Risky to Apply Oxygen for Congenital Heart Disease 부천세종병원 소아청소년과최은영
When is Risky to Apply Oxygen for Congenital Heart Disease 부천세종병원 소아청소년과최은영 The Korean Society of Cardiology COI Disclosure Eun-Young Choi The author have no financial conflicts of interest to disclose