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European Heart Journal 1990 11(2):189-192;
Copyright © 1990 by the European Society of Cardiology.
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© 1990 The European Society of Cardiology

Doppler-echocardiographic findings in a patient with persisting right ventricular sinusoids

R. JENNI, M. RITTER, L. VON SEGESSER and F. REAL

Medical Policlinic and Clinic for Cardiovascular Surgery, University Hospital and Department of Cardiology, Children's University Hospital Zurich, Switzerland

Received 12 January 1989; revised 12 April 1989; .

Address for correspondence: R. Jenni, M.D., M.S.E.E., Medical Policlinic, Division of Cardiology, University Hospital of Zurich, Ramistr. 100,8091 Zurich, Switzerland.

Abstract

The Doppler-echocardiographic features of persisting right ventricular myocardial sinusoids are presented. An 18-year-old patient with persisting right ventricular sinusoids had undergone comissurotomy for critical pulmonary artery stenosis at the age of 12 months. Follow-up catheterization at the age of 17 years revealed no signs of residual pulmonary artery stenosis, outflow tract obstruction or pulmonary hypertension. No shunt could be documented. High systolic velocity jets within the myocardial sinusoids were recorded by means of continuous-wave Doppler. Pulmonary artery blood flow velocity was recorded mainly consequent to atrial contraction and was reduced during right ventricular ejection period, thus reflecting impaired systolic and diastolic right ventricular function.

Key Words: Right ventricular myocardial sinusoids • Doppler echocardiography


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