By J.P. Lintermans
In 1981 Dr Jean Lintermans released, with Dr van Dorp, a good vol ume, 'Differential analysis in Pediatric Echocardiography'. It was once 'state of the artwork' with a distinct association, beginning with M-mode echocardiograph ic findings instead of the sickness class, and incorporated a segmental method of analysis, and concluded with a useful part on common echocardiographic values. This quantity was once a very good support to many folks in pediatric cardiology who have been researching the good medical price of the noninvasive method of analysis. This gave us a 'running begin' for our personal access into the sector. at the moment, the two D or region echocardiogram used to be discovering expanding usefulness and there have been a number of illustrations of this tech nique, built-in into that quantity. for the reason that 1980, the sphere of two D echocardiography has grown significantly in its usefulness, to the purpose that it has lowered the necessity for invasive reports, and has more suitable the precision of invasive experiences whilst required. it truly is now time for a scientific and thorough method of this box, and i'm thrilled that Jean Lintermans has supplied us with this e-book. the photographs are uniformly terrific and are rather well labelled. The association is cen tered round diagnostic different types, however the related realization to element is pre despatched that made the 1st quantity so necessary. I really price the large documentation of diagnostic findings, with a variety of literature citations.
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Extra info for Two-dimensional Echocardiography in Infants and Children
Sample text
4. Double outlet right ventricle Definition In patients with DORV both great arteries arise primarily from the RV. For Neufeld et al. [13] the RV possesses 2 coni, one subaortic and one subpulmonic. Neither semilunar valve is in fibrous continuity with an AV valve. However, for others [14] mitral-aortic or mitral-pulmonic continuity may be present. An obligatory VSD either subaortic or subpulmonic allows blood to flow from the left ventricle to the great arteries. Pulmonary stenosis mayor may not be associated.
Am J Cardiol 50: 1376-1379. 9. Riggs TW, Paul MH, 1982. Two-dimensional echocardiographic prospective diagnosis of common truncus arteriosus in infants. Am J Cardiol 50: 1380-1384. 10. Silverman NH, Snider AR, 1982. Two-dimensional echocardiography in congenital heart disease. Appleton-Century-CroftsINorwalk, Conn. II. Barron JV, Sahn DJ, Attie F, Valdes-Cruz LM, Grenadier E, Allen HD, Lima CO, Goldberg SJ, 1983. Two-dimensional echocardiographic study of right ventricular outflow and great artery anatomy in pulmonary atresia with ventricular septal defects and in truncus arteriosus.
Pulmonary stenosis mayor may not be associated. Usually the great vessels arise from the heart side-by-side with the aorta to the right, and the semilunar valves at the same horizontal level. However, great artery relationship may be normal or simulate d-TGA or I-TGA. The Taussig-Bing malformation consists in DORV with d-TGA with the pulmonary artery overriding the VSD and the LV (fig. 18). Echocardiographic findings Since 16 possible variations of DORV have been described with respect to interrelations of the great arteries and to location of the VSD [15], it is not surprising that conflicting echocardiographic features have been proposed 41 for the diagnosis of the syndrome.