The Noninvasive Evaluation of Hemodynamics in Congenital Heart Disease : Doppler Ultrasound Applications in the Adult and Pediatric Patient with Congenital Heart Disease

The noninvasive evaluation of hemodynamics in congenital heart disease is an application for which Doppler ultrasound is ideally suited. The pediatric cardiac sonographer has used 2D and TM imaging for several years to study the structural abnormalities associated with various lesions. Pulsed Doppler, continuous wave Doppler, and more recently, color flow mapping techniques have been used to study the pathophysiology, and to make quantitative measurements thereof. To those already working in pediatric echocardiography, this book is intended to serve as a guide to the applications of the various Doppler modalities in specific abnormalities. The other group for which this text is intended are the adult cardiac sonographers who see the occasional patient with congenital heart disease in their echocardiography laboratories. The incidence ofcongenital heart disease is not decreasing. As more patients survive to child bearing age, the adult cardiologist sees more and more referrals from the pediatric cardiologist to follow up the parent with corrected congenital heart disease, and in many smaller institutions, to examine their offspring as well. For this group, the book is intended to serve as a reference which gives a basic description of the pathology, the relevant parameters to observe, and a guide to the Doppler applications used to make these observations. While there are a few books available on the subject of echocardiography in congenital heart disease, they do not usually go into much detail on noninvasive assessment of the pathophysiology. It is our hope that this text fills that gap. Front Matter....Pages i-xv The Technical Aspects of Doppler Ultrasound....Pages 1-34 Clinically Relevant Topics in Signal Analysis....Pages 35-53 Blood Flow Measurement by Doppler Ultrasound....Pages 54-69 The Normal Examination Technique....Pages 70-88 Obstructive Lesions in Congenital Heart Disease....Pages 89-150 Regurgitant Lesions in Congenital Heart Disease....Pages 151-185 Estimation of Pulmonary Artery Pressure....Pages 186-199 Atrial Septal Defects....Pages 200-221 Doppler Echocardiography in Ventricular Septal Defects....Pages 222-243 Combined Cross-Sectional Imaging and Doppler Echocardiography in Atrioventricular Septal Defects....Pages 244-259 The Doppler Evaluation of Patent Ductus Arteriosus....Pages 260-270 Doppler Findings in Hypoplastic Left Heart Syndrome....Pages 271-277 Doppler Echocardiography Evaluation of Total Anomalous Pulmonary Venous Drainage....Pages 278-284 The Evaluation of Complex Shunt Lesions....Pages 285-298 Tetralogy of Fallot, Pulmonary Atresia and Truncus Arteriosus....Pages 299-316 The Use of Interaoperative Ultrasound in Congenital Heart Disease....Pages 317-336 Transesophageal Echocardiography in Congenital Heart Disease....Pages 337-352 Back Matter....Pages 353-360 Edited By James V. Chapman And George R. Sutherland. Includes Index. Includes Bibliographical References.