Echocardiography-Conference - PowerPoint Presentation MBBS Notes | EduRev

 Page 1


© 2003-2006, David Stultz, MD
Echocardiography Conference
David Stultz, MD
Cardiology Fellow, PGY 4
May 20, 2004
Page 2


© 2003-2006, David Stultz, MD
Echocardiography Conference
David Stultz, MD
Cardiology Fellow, PGY 4
May 20, 2004
© 2003-2006, David Stultz, MD
Goals for conference
• Better understanding of transposition of 
great vessels
– D/L, ‘congenitally corrected’
• Review of ASD types and board pearls
Page 3


© 2003-2006, David Stultz, MD
Echocardiography Conference
David Stultz, MD
Cardiology Fellow, PGY 4
May 20, 2004
© 2003-2006, David Stultz, MD
Goals for conference
• Better understanding of transposition of 
great vessels
– D/L, ‘congenitally corrected’
• Review of ASD types and board pearls
© 2003-2006, David Stultz, MD
Case 1
• 40 yo WM with hx Congenitally corrected 
Transposition of the Great Vessels presenting 
with increased DOE
• 1994 L Subclavian to L PA shunt
• Pulmonary Stenosis
– Porcine valve replacement
• VSD
– Patch repair
• Hx Left AV Regurgitation
– Repaired 2000
Page 4


© 2003-2006, David Stultz, MD
Echocardiography Conference
David Stultz, MD
Cardiology Fellow, PGY 4
May 20, 2004
© 2003-2006, David Stultz, MD
Goals for conference
• Better understanding of transposition of 
great vessels
– D/L, ‘congenitally corrected’
• Review of ASD types and board pearls
© 2003-2006, David Stultz, MD
Case 1
• 40 yo WM with hx Congenitally corrected 
Transposition of the Great Vessels presenting 
with increased DOE
• 1994 L Subclavian to L PA shunt
• Pulmonary Stenosis
– Porcine valve replacement
• VSD
– Patch repair
• Hx Left AV Regurgitation
– Repaired 2000
© 2003-2006, David Stultz, MD
A – Normal Cardiac development
B – Complete transposition of the Great Vessels
Note VSD and PDA
C – Congenitally corrected transposition
Hornung et al.
Transposition of the Great 
Vessels
Page 5


© 2003-2006, David Stultz, MD
Echocardiography Conference
David Stultz, MD
Cardiology Fellow, PGY 4
May 20, 2004
© 2003-2006, David Stultz, MD
Goals for conference
• Better understanding of transposition of 
great vessels
– D/L, ‘congenitally corrected’
• Review of ASD types and board pearls
© 2003-2006, David Stultz, MD
Case 1
• 40 yo WM with hx Congenitally corrected 
Transposition of the Great Vessels presenting 
with increased DOE
• 1994 L Subclavian to L PA shunt
• Pulmonary Stenosis
– Porcine valve replacement
• VSD
– Patch repair
• Hx Left AV Regurgitation
– Repaired 2000
© 2003-2006, David Stultz, MD
A – Normal Cardiac development
B – Complete transposition of the Great Vessels
Note VSD and PDA
C – Congenitally corrected transposition
Hornung et al.
Transposition of the Great 
Vessels
© 2003-2006, David Stultz, MD
Vocabulary
• Atrioventricular concordance vs. 
discordance
• Ventriculoarterial concordance vs. 
discordance
– Tansposition features Ventriculoarterial
discordance
• D-loop – Complete transposition; Aorta 
arises right of pulmonary artery
• L-loop – Congenitally corrected; Aorta 
arises left of pulmonary artery