Download Echocardiography in Adult Congenital Heart Disease by Wei Li, Michael Henein, Michael A. Gatzoulis PDF

By Wei Li, Michael Henein, Michael A. Gatzoulis

This booklet presents cardiologists with entry to the wealth of imaging from the Royal Brompton clinic and nationwide center and Lung Institute in London to let them to enhance on their lonesome abilities and refine their imaging method. The authors correlate this echocardiography event with the pathological and surgical features of congenital middle defects. They contain a overview of the pathologic, physiologic and surgical observations of other congenital ailments to aid in figuring out a number of the echocardiographic displays. The e-book includes huge numbers of echocardiographic photos.

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Additional info for Echocardiography in Adult Congenital Heart Disease

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1. Echocardiographic Examination Parasternal long- and short-axis views demonstrate the aneurysmal dilatation of the aortic sinuses. When there is an additional subaortic ventricular septal defect, the prolapsing aortic leaflet may partially close the defect and the corresponding sinus becomes distorted. This complex pathology often results in aortic regurgitation.

This technique has its limitations, patients with displastic leaflets and those with distorted orifice may fail to demonstrate a clear spherical velocity convergence zone. A common case for this is an eccentric mitral regurgitation jet, which is a common finding in patients with mitral valve prolapse. 10). 2. Continuous Wave Doppler Continuous wave Doppler is a very reliable technique for assessing severity of mitral regurgitation. 9. Parasternal long-axis view from a patient with posterior mitral valve leaflet prolapse that causes mild regurgitation with an anteriorly directed jet.

4. (A, B) Parasternal long- and short-axis views from a patient with a parachute left atrioventriclar valve. Note the chordal insertion into the posteromedial papillary muscle. 1. 1. Anatomical Diagnosis This is easily achieved from transthoracic echocardiographic images and identification of the part of the leaflet that is prolapsing, in particular on the parasternal long-axis view. Good short-axis images may assist in determining the prolapsing scallop and its progressive dysfunction during follow up.

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