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European Heart Journal 1986 7(3):190-195;
Copyright © 1986 by the European Society of Cardiology.
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© 1986 The European Society of Cardiology

Evaluation of total anomalous pulmonary venous drainage with cross-sectional colour-flow Doppler echocardiography

A. VITARELLI, A. SCAPATO, V. SANGUIGNI and M. C. CAMINITI

Department of Cardiology, University of Rome Medical School Rome, Italy

Received 3 October 1985; revised 13 November 1985; .

Address for correspondence: Dr Antonio Vitarelli, Via Lima 35, 00198 Rome, Italy

Abstract

Three patients with total anomalous pulmonary venous drainage (TAPVD) were studied by real-time cross-sectional colour-flow Doppler echocardiography. Serial suprasternal, parasternal and subcostal scans were obtained. In all cases surgical or angiocardiographic confirmation was available. Two patients had supracardiac drainage (to the left vertical vein or to the right superior vena cava) and one patient had infracardiac drainage. An abnormal forward flow in the left innominate vein and vertical vein was visualized in those patients with supracardiac TAPVD. Abnormal venous flow was also imaged in one patient with mixed drainage. In the patient with infradiaphragmatic TAPVD characteristic flow signals were identified in the inferior vena cava (retrograde flow) and in the descending aorta and anomalous pulmonary venous channel (forward flow). In all patients the patterns of pulmonary venous flow allowed us to distinguish TAPVD from contiguous structures and to validate two-dimensional cross-sectional imaging.

Key Words: Doppler echocardiography • total anomalous pulmonary venous drainage • congenital heart disease


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