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

Published online by Cambridge University Press:  01 July 2011

Luc Mertens
Affiliation:
Departments of Cardiology and Pediatric Cardiology, University Hospital Gasthuisberg, Leuven, Belgium
Frank Weidemann
Affiliation:
Departments of Cardiology and Pediatric Cardiology, University Hospital Gasthuisberg, Leuven, Belgium
George R. Sutherland*
Affiliation:
Departments of Cardiology and Pediatric Cardiology, University Hospital Gasthuisberg, Leuven, Belgium
*
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

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.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2001

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References

1.HP, Gutgesell. Echocardiographic assessment of cardiac function in infants and children. J Am Coll Cardiol 1985;5(1 Suppl):95S103S.Google Scholar
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.CrossRefGoogle ScholarPubMed
3.Rychik, J, ZY, Tian. Quantitative assessment of myocardial tissue velocities in normal children with Doppler tissue imaging. Am J Cardiol 1996;77:12541257.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle Scholar
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.CrossRefGoogle ScholarPubMed
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.Google Scholar
8.AD, Fleming, Xia, X, WN, McDicken, GR, Sutherland, Fenn, L. Myocardial velocity gradients detected by Doppler imaging. Br J Radiol 1994;67:679688.Google Scholar
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.CrossRefGoogle ScholarPubMed
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;35:1525–34CrossRefGoogle ScholarPubMed