scholarly journals Perioperative Echocardiographic Features of Total Anomalous Pulmonary Venous Connection

2016 ◽  
Vol 4 (2) ◽  
pp. 51-58
Author(s):  
Parag Barwad ◽  
Goverdhan Dutt Puri ◽  
Vikas Dutta ◽  
Alok Kumar
Keyword(s):  
Right Atrium ◽  
Pulmonary Veins ◽  
Flow Imaging ◽  
Color Flow ◽  
Interatrial Communication ◽  
Color Flow Imaging ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection ◽  
Anomalous Pulmonary Venous Connections

ABSTRACT Total anomalous pulmonary venous connection (TAPVC) refers to when all four pulmonary veins connect anomalously to the right atrium, directly or indirectly. Perioperative echocardiography, both transthoracic and transesophageal (TEE) with color flow imaging and Doppler interrogation, can identify the venous confluence, its connections, obstructions if any in the pathway, and any interatrial communication. They supplement each other in delineating the anatomy of such anomalous pulmonary venous connections. Perioperative TEE evaluation of patients with repaired TAPVC confirms the adequacy of repair, leaks or stenosis of the venous baffle. We summarize the role of perioperative echocardiography in understanding cases of TAPVC. How to cite this article Kumar A, Dutta V, Puri GD, Barwad P. Perioperative Echocardiographic Features of Total Anomalous Pulmonary Venous Connection. J Perioper Echocardiogr 2016;4(2):51-58.

scholarly journals Right Upper Lobe Partial Anomalous Pulmonary Venous Connection

2014 ◽  
Vol 2014 ◽  
pp. 1-3 ◽  
Author(s):  
Christos Tourmousoglou ◽  
Christina Kalogeropoulou ◽  
Efstratios Koletsis ◽  
Nikolaos Charoulis ◽  
Christos Prokakis ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Right Atrium ◽  
Venous Return ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Systemic Vein ◽  
Anomalous Pulmonary Venous Return ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection

Partial anomalous pulmonary venous return (PAPVR) is a left-to-right shunt where one or more, but not all, pulmonary veins drain into a systemic vein or the right atrium. We report a case of a 45-year-old male with PAPVR to superior vena cava which was incidentally discovered during a right lower bilobectomy for lung cancer.

Total Anomalous Pulmonary Venous Connection: Preoperative Anatomy, Physiology, Imaging, and Interventional Management of Postoperative Pulmonary Venous Obstruction

2016 ◽  
Vol 21 (2) ◽  
pp. 123-131 ◽  
Author(s):  
Matthew D. Files ◽  
Brian Morray
Keyword(s):  
Postoperative Complications ◽  
Right Atrium ◽  
Surgical Repair ◽  
Venous Blood ◽  
Pulmonary Veins ◽  
Pulmonary Venous Obstruction ◽  
Venous Obstruction ◽  
Systemic Vein ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection

Total anomalous pulmonary venous connection refers to a spectrum of cardiac anomalies where the pulmonary veins fail to return to the left atrium and the pulmonary venous blood returns through a systemic vein or directly to the right atrium. There is a wide anatomical variety of venous connections and degrees of pulmonary venous obstruction that affect the presentation, surgical repair, and outcomes. In this review, we explore the preoperative physiology, echocardiographic diagnosis, and approach to postoperative complications.

Urinary bladder rupture diagnosed by Doppler color flow imaging

Choonpa Igaku ◽  
2010 ◽  
Vol 37 (3) ◽  
pp. 333-335
Author(s):  
Yoshizo ITOH ◽  
Hidefumi TANIGUCHI ◽  
Masakatsu OISHI ◽  
Eiji HIROTA ◽  
Satoshi HIRAKAWA ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Bladder Rupture ◽  
Flow Imaging ◽  
Color Flow ◽  
Color Flow Imaging ◽  
Doppler Color ◽  
Doppler Color Flow Imaging

scholarly journals Utility of transcranial color flow imaging for detecting high risk morphology of patent foramen ovale in patients with cerebral infarction

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
S Chino ◽  
Y Mochizuki ◽  
E Toyosaki ◽  
M Ota ◽  
K Mizuma ◽  
...  
Keyword(s):  
High Risk ◽  
Patent Foramen Ovale ◽  
Cerebral Embolism ◽  
Flow Imaging ◽  
Foramen Ovale ◽  
Color Flow ◽  
Color Flow Imaging ◽  
Bubble Test ◽  
Micro Bubble ◽  
Group B

Abstract Background Micro-bubble test by using transcranial color flow imaging (TCCFI) is important as a screening evaluation for diagnosis of paradoxical cerebral embolism which requires the proof of right to left shunt at atrial septum. In addition, high risk features of patent foramen ovale (PFO) that may allow thrombus to easily pass through the PFO itself were previously reported. However, little is known about the association between the degrees on micro-bubble test by TCCFI and the features of high risk PFO. Purpose Our aim is to clarify the relationship between the degree of micro-bubble test in TCCFI and the morphology of PFO from transesophageal echocardiography (TEE). Methods Seventy-seven patients in whom cardiogenic embolism was strongly suspected by neurologists in Showa University from April to December in 2019 were retrospectively studied. 55 patients underwent both TCCFI and TEE with sufficient Valsalva stress. TCCFI grade of micro-bubble test was classified into 3 groups (A: none, B: small, and C: massive), in which signified “none” is no sign of micro-embolic signals (MES) within 30 seconds, “small” is 1 or more MES, and “massive” is so much MES look like a curtain (Figure). Evaluated high risk characteristics of PFO for cerebral embolism as previously reported were as follows; (1) tunnel height, (2) tunnel length, (3) total excursion distance into right and left atrium, (4) existence of Eustachian valve or Chiari network, (6) angle of PFO from inferior vena cava (7) large shunt (20 or more micro-bubbles). Results Of all TCCFI-positive patients (n=32; Group B=19, Group C=13) with cerebral embolism, PFOs were detected in 23 patients in TEE. Therefore, the sensitivity and specificity of TCCFI to PFO were 87% and 63% (AUC=0.75, p<0.001, respectively). Interestingly, all 13 patients (Group C) had manifest PFOs. Moreover, group C include 2 patients with platypnea orthodeoxia syndrome in which hypoxia in the sitting position becomes apparent. Among PFO-positive patients, tunnel height, length, total excursion distance into right and left atrium, and large shunt in TEE were significantly larger in Group C than Group B (p<0.05). Conclusions Micro-bubble test by using TCCFI may have screening advantages in predicting paradoxical cerebral embolism, high-risk morphology of PFO, and platypnea orthodeoxia syndrome. Figure 1 Funding Acknowledgement Type of funding source: None

scholarly journals P649 Before and after: sinus venosus atrial septal defect

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Marco Clement ◽  
R Eiros ◽  
R Dalmau ◽  
T Lopez ◽  
G Guzman ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrium ◽  
Atrial Flutter ◽  
Superior Vena Cava ◽  
Right Atrium ◽  
Septal Defect ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
The Right

Abstract Introduction The diagnosis of sinus venosus atrial septal defect (SVASD) is complex and requires special imaging. Surgery is the conventional treatment; however, transcatheter repair may become an attractive option. Case report A 60 year-old woman was admitted to the cardiology department with several episodes of paroxysmal atrial flutter, atrial fibrillation and atrioventricular nodal reentrant tachycardia. She reported a 10-year history of occasional palpitations which had not been studied. A transthoracic echocardiography revealed severe right ventricle dilatation and moderate dysfunction. Right volume overload appeared to be secondary to a superior SVASD with partial anomalous pulmonary venous drainage. A transesophageal echocardiography confirmed the diagnosis revealing a large SVASD of 16x12 mm (Figure A) with left-right shunt (Qp/Qs 2,2) and two right pulmonary veins draining into the right superior vena cava. Additionally, it demonstrated coronary sinus dilatation secondary to persistent left superior vena cava. CMR and cardiac CT showed right superior and middle pulmonary veins draining into the right superior vena cava 18 mm above the septal defect (Figures B and C). After discussion in clinical session, a percutaneous approach was planned to correct the septal defect and anomalous pulmonary drainage. For this purpose, anatomical data obtained from CMR and CT was needed to plan the procedure. During the intervention two stents graft were deployed in the right superior vena cava. The distal stent was flared at the septal defect level so as to occlude it while redirecting the anomalous pulmonary venous flow to the left atrium (Figure D). Control CT confirmed the complete occlusion of the SVASD without residual communication from pulmonary veins to the right superior vena cava or the right atrium (Figure E). Anomalous right superior and middle pulmonary veins drained into the left atrium below the stents. Transthoracic echocardiographies showed progressive reduction of right atrium and ventricle dilatation. The patient also underwent successful ablation of atrial flutter and intranodal tachycardia. She is currently asymptomatic, without dyspnea or arrhythmic recurrences. Conclusions In this case, multimodality imaging played a key role in every stage of the clinical process. First, it provided the diagnosis and enabled an accurate understanding of the patient’s anatomy, particularly of the anomalous pulmonary venous connections. Secondly, it allowed a transcatheter approach by supplying essential information to guide the procedure. Finally, it assessed the effectiveness of the intervention and the improvement in cardiac hemodynamics during follow-up. Abstract P649 Figure.

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