An echocardiographic study of perimembranous ventricular septal defect with left ventricular to right atrial shunting. Issue 1 (January 1986)

• Record Type: Journal Article
• Authors: Leung, M P; Mok, C K; Lo, R N; Lau, K C
• Is Part Of: Heart. Volume 55:Issue 1(1986)
• Page Start: 45
• Page End: 52
• Publication Date: 1986-01
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.55.1.45
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : Twenty nine patients with isolated perimembranous ventricular septal defects were investigated by M mode, cross sectional, and pulsed Doppler echocardiography. Tricuspid valve anomalies were present in all six patients with a left ventricular-right atrial shunt but in only six (26%) of 23 patients who had interventricular shunts only. Systolic flutter of the tricuspid valve was shown in five (83%) of the six patients with a ventriculoatrial shunt but not in the other patients. Systolic turbulence in both the right ventricle and right atrium was detected by Doppler echocardiography only in patients with ventriculoatrial shunting. A perimembranous ventricular septal defect with left ventricular to right atrial shunt can be diagnosed by its combined M mode, cross sectional, and pulsed Doppler echocardiographic features.