Clinical Application of Right Heart Contrast Echocardiography With the Media of Hand-vibrated 50% Glucose Solution
10.3969/j.issn.1000-3614.2015.08.013
- VernacularTitle:手振50%葡萄糖溶液右心声学造影的临床应用
- Author:
Qiuxiang BI
;
Hanmei WANG
;
Lan JU
;
Jiao YANG
;
Dongmei LIANG
;
Jiannan LV
- Publication Type:Journal Article
- Keywords:
Right heart contrast echocardiography;
Hand-vibrated 50％ glucose solution;
Congenital heart disease;
Echocardiography
- From:
Chinese Circulation Journal
2015;(8):771-773
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To summarize the different cardiac shunt presentation in right heart contrast echocardiography and to clarify its clinical value for diagnosing the patients with congenital heart disease (CHD).
Methods: We retrospectively analyzed 102 patients who received right heart contrast echocardiography in our hospital from 2006 to 2014. The contrast media was the hand-vibrated mixture of 9 ml 50% glucose solution with 1 ml air.
Results: There were 49/102 patients with abnormal blood shunt detected including 8 patients of atrial septal defect (ASD) with right to left or dual shunt, 7 of ASD with left to right shunt, 9 of patent foramen ovale (PFO) with functional right to left shunt, 13 of patent ductus arteriosus (PDA) combining pulmonary arterial hypertension, 3 of pulmonary arteriovenous ifstula (PAVF), 9 patients with persistent left superior vena cava (PLSVC) and 8 of them drain to coronary vein sinus, 1 drain to left atrium.
Conclusion: Right heart contrast echocardiography may simply and effectively detect abnormal blood shunt in patients combining pulmonary arterial hypertension and improve the diagnostic accuracy of CHD.
