Feasibility of diagnosis of perimembranous ventricular septal defect with right aortic valve prolapse by ul-trasonic echocardiography

VernacularTitle:超声心动图诊断膜周部室间隔缺损伴右冠瓣脱垂的可行性
Author: Shujie WANG ; Zhaofeng XIE ; Shan LI ; Yufen LI ; Yumei XIE ; Zhiwei ZHANG
Publication Type:Journal Article
Keywords: Transthoracic color Doppler echocardiography; Ventricular septal defect; Aortic valve prolapse; Angiography
From: The Journal of Practical Medicine 2016;32(13):2142-2145
CountryChina
Language:Chinese
Abstract: Objectives To explore the feasibility ofdiagnosis of Perimembranous Ventricular Septal Defect with Right Aortic Valve Prolapse by ultrasonic echocardiography. Methods 131 VSD patients aged 1 to 22 years, weight 8.0 to 54.0 kg, underwent transthoracic echocardiography (TTE) and left ventricular angiography to show the diameter of VSD and the degree of AVP. Results Among 131 patients, 87 cases were diagnosed as VSD,14 as VSD with slight AVP, 12 as, VSD with middle AVP, and 18 as VSD with severe AVP by ultrasonic echocardiography respectively. After the left ventricular angiography and aortic root angiography , it proved that positive rate of VSD was 44.8%, positive rate of VSD with slight AVP was 42.86%, positive rate of VSD with middle AVP was 58.3%,and positive rate of VSD with severe AVP was 83.3%. Conclusion The transthoracic echocardiography (TTE) contributes to diagnosis of severe degree of AVP,while TTE evaluates the slight degree of AVP incorrectly enough. Left ventricular angiography and aortic root angiography are needed to realize the di-agnosis of AVP.