Skip to main content
×
×
Home

Left ventricular function before and after repair of an anomalous left coronary artery arising from the pulmonary trunk

  • Luc Mertens (a1), Frank Weidemann (a1) and George R. Sutherland (a1)
Abstract

We report an infant with an abnormal left coronary artery arising from the pulmonary trunk in whom, subsequent to surgical repair, sequential improvements in regional left and right systolic and diastolic myocardial function were quantified by the new ultrasound-based method of regional strain and strain rate imaging. The regional radial and longitudinal myocardial function of the left ventricle was homogeneously reduced prior to repair, while the time course of their recovery differed subsequent to repair. We discuss the concepts and advantages behind this quantitative approach to monitoring regional myocardial function in children.

Copyright
Corresponding author
Correspondence to: Professor George R. Sutherland, Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B–3000 Leuven, Belgium. Tel +32 16 344372; Fax +32 16 3434 67; E-mail: george.sutherland@med.kuleuven.be
References
Hide All
1.HP, Gutgesell. Echocardiographic assessment of cardiac function in infants and children. J Am Coll Cardiol 1985;5(1 Suppl):95S103S.
2.Picano, E, Lattanzi, F, Orlandini, A, Marini, C, L' Abbate, A. Stress echocardiography and the human factor: the importance of being expert. J Am Coll Cardiol. 1991;17:666669.
3.Rychik, J, ZY, Tian. Quantitative assessment of myocardial tissue velocities in normal children with Doppler tissue imaging. Am J Cardiol 1996;77:12541257.
4.Miyatake, K, Yamagishi, M, Tanaka, N, Uematsu, M, Yamazaki, N, Mine, Y, Sano, A, Hirama, M. New method for evaluating left ventricular wall motion by color-coded tissue Doppler imaging: in vitro and in vivo studies. J Am Coll Cardiol 1995;25:717–24.
5.Heimdal, A, Stoylen, A, Torp, H, Skjaerpe, T. Real-time strain rare imaging of the left ventricle by ultrasound. J Am Soc Echocardiogr 1998; 11:10131019.
6.Jamal, F, Kukulski, T, D'hooge, J, De Scheerder, I, Sutherland, G. Abnormal postsystolic thickening in acutely ischemic myocardium during coronary angioplasty: a velocity, strain, and strain rate Doppler myocardial imaging study. J Am Soc Echocardiogr 1999;12:994996.
7.PJ, del Nido, BW, Duncan, JE, Mayer Jr, DL, Wessel, RA, LaPierre, RA, Jonas. Left ventricular assist device improves survival in children with left ventricular dysfunction after repair of anomalous origin of the left coronary artery from the pulmonary artery. Ann Thorac Surg 1999;67:169172.
8.AD, Fleming, Xia, X, WN, McDicken, GR, Sutherland, Fenn, L. Myocardial velocity gradients detected by Doppler imaging. Br J Radiol 1994;67:679688.
9.Rein, A, Colan, S, Parness, I, Sanders, S. Regional and global left ventricular function in infants with anomalous origin of the left coronary artery from the pulmonary trunk: preoperative and postoperative assessment. Circulation 1987;75:115123.
10.Bogaert, J, Bosmans, H, Maes, A, Suetens, P, Marchal, G, FE, RademakersRemote myocardial dysfunction after acute anterior myocardial infarction: impact of left ventricular shape on regional function: a magnetic resonance myocardial tagging study. J Am Coll Cardiol 2000;35:1525–34
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords:

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 6 *
Loading metrics...

Abstract views

Total abstract views: 58 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 12th June 2018. This data will be updated every 24 hours.