The right ventricle in congenital heart disease. (16th March 2006)

• Record Type: Journal Article
• Authors: Davlouros, P A; Niwa, K; Webb, G; Gatzoulis, M A
• Is Part Of: Heart. Volume 92(2006)Supplement 1
• Page Start: i27
• Page End: i38
• Publication Date: 2006-03-16
• Subjects: ASD, atrial septal defect -- ccTGA, congenitally corrected transposition of the great arteries -- CHD, congenital heart disease -- CMR, cardiac magnetic resonance -- CT, computed tomography -- MRI, magnetic resonance imaging -- MSCT, multislice computed tomography -- PR, pulmonary valve regurgitation -- RNA, radionuclide angiography -- RV, right ventricle -- TOE, transoesophageal echocardiography -- TR, tricuspid regurgitation; congenital heart disease -- right ventricle -- imaging -- transoesophageal echocardiography; Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.2005.077438
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : In patients with congenital heart disease the right ventricle (RV) may support the pulmonary (subpulmonary RV) or the systemic circulation (systemic RV). During the last 50 years evidence is accumulating that RV dysfunction develops in many of these patients and leads to considerable morbidity and mortality. Therefore RV function in certain groups of congenital heart disease patients needs close surveillance and timely and appropriate intervention to optimise outcomes. Despite major progress being made, assessing the RV either in the subpulmonary or the systemic circulation remains challenging, often requiring a multi-imaging approach and expertise (echocardiography, magnetic resonance imaging, nuclear and occasionally invasive assessment with angiography). This review discusses the implications of volume and pressure loading of the RV in the context of congenital heart disease and describes the most relevant imaging modalities for monitoring RV function.