Journal of the American Society of Echocardiography
Volume 23, Issue 5 , Pages 496-503 , May 2010

A New Simple Method to Estimate Pulmonary Regurgitation by Echocardiography in Operated Fallot: Comparison With Magnetic Resonance Imaging and Performance Test Evaluation

  • Pierluigi Festa, MD

      Affiliations

    • Pediatric Cardiology, Ospedale del Cuore, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • MRI Lab, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • Corresponding Author InformationReprint requests: Pierluigi Festa, MD, Operative Unit of Pediatric Cardiology, Ospedale del Cuore, Fondazione Toscana GM, Institute of Clinical Physiology, National Research Council, Via Aurelia Sud 54100 Massa, Italy.
    • ,
  • Lamia Ait-Ali, MD

      Affiliations

    • Pediatric Cardiology, Ospedale del Cuore, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • MRI Lab, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • ,
  • Fabrizio Minichilli

      Affiliations

    • Institute of Clinical Physiology, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • ,
  • Ines Kristo, MD

      Affiliations

    • Pediatric Cardiology, Ospedale del Cuore, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • ,
  • Mariolina Deiana

      Affiliations

    • MRI Lab, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy
    • ,
  • Eugenio Picano, MD, PhD

      Affiliations

    • Institute of Clinical Physiology, CNR-Reg Toscana Fondazione Gabriele Monasterio, Massa-Pisa, Italy

References 

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  2. Nollert G, Fischlein T, Bouterwek S, Bohmer C, Klinner W, Reichart B. Long-term survival in patients with repair of tetralogy of Fallot: 36-year follow-up of 490 survivors of the first year after surgical repair. J Am Coll Cardiol. 1997;30:1374–1383
  3. Geva T, Sandweiss BM, Gauvreau K, Lock JE, Powell AJ. Factors associated with impaired clinical status in long-term survivors of tetralogy of Fallot repair evaluated by magnetic resonance imaging. J Am Coll Cardiol. 2004;43:1068–1074
  4. Silka MJ, Hardy BG, Menashe VD, Morris CD. A population-based prospective evaluation of risk of sudden cardiac death after operation for common congenital heart defects. J Am Coll Cardiol. 1998;32:245–251
  5. Henein MY. pulmonary valve. In:  Henein M,  Sheppard M,  Pepper J,  Rigby M editor. Clinical echocardiography. Berlin, Germany: Springer-Verlag; 2005;p. 77–87
  6. Redington AN. Determinants and assessment of pulmonary regurgitation in tetralogy of Fallot: practice and pitfalls. Cardiol Clin. 2006;24:631–639
  7. Li W, Davlouros PA, Kilner PJ, Pennell DJ, Gibson D, Henein MY, et al. A Doppler-echocardiographic assessment of pulmonary regurgitation in adults with repaired tetralogy of Fallot: comparison with cardiovascular magnetic resonance imaging. Am Heart J. 2004;147:165–172
  8. Williams RV, Minich LL, Shaddy RE, Pagotto LT, Tani LY. Comparison of Doppler echocardiography with angiography for determining the severity of pulmonary regurgitation. Am J Cardiol. 2002;89:1438–1441
  9. Helbing WA, de Roos A. Clinical applications of cardiac magnetic resonance imaging after repair of tetralogy of Fallot. Pediatr Cardiol. 2000;21:70–79
  10. Rebergen SA, van der Wall EE, Doornbos J, De Roos A. Magnetic resonance measurement of velocity and flow: technique, validation, and cardiovascular applications. Am Heart J. 1993;126:1439–1456
  11. Zoghbi WA, Enriquez-Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, et al. American Society of Echocardiography Recommendations for evaluation of the severity of native valvular regurgitation with two dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003;16:777–780
  12. Silversides CK, Veldtman GR, Crossin J, Merchant N, Webb GD, McCrindle BW, et al. Pressure half-time predicts hemodynamically significant pulmonary regurgitation in adult patients with repaired tetralogy of Fallot. J Am Soc Echocardiogr. 2003;16:1057–1062
  13. Snider AR, Enderlein MA, Teitel DF, Juster RP. Two-dimensional echocardiographic determination of aortic and pulmonary artery sizes from infancy to adulthood in normal subjects. Am J Cardiol. 1984;53:218–224
  14. Sahn DJ, DeMaria A, Kisslo J, Weyman A. Recommendations regarding quantitation in M-mode echocardiography: results of a survey of echocardiographic measurements. Circulation. 1978;58:1072–1083
  15. Snider AR, Ritter SB, Serwer GA. Method for obtaining quantitative information for the echocardiography examination. In:  Snider AR,  Ritter SB,  Serwer GA editor. Echocardiography in pediatric heart disease. 2nd ed. Philadelphia: Mosby; 1997;
  16. Festa P. Congenital heart disease in MRI of the heart and vessels). In:  Lombardi M, et al. editor. Milan, Italy: Springer-Verlag Italia; 2004;
  17. Swets J. Measuring the accuracy of diagnostic systems. Science. 1988;240:1285–1293
  18. De Long ER, De Long DM, Clarke-Pearson DL (1988). Comparing the areas under two or more correlated receiver operating characteristic curves; a nonparametric approach. Biometrics 44:837–845.
  19. Geva T. Indications and timing of pulmonary valve replacement after tetralogy of Fallot repair. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006;11–22
  20. Tweddell JS, Pelech AN, Frommelt PC, Mussatto KA, Wyman JD, Fedderly RT, et al. Factors affecting longevity of homograft valves used in right ventricular outflow tract reconstruction for congenital heart disease. Circulation. 2000;102:III130–III135
  21. Vlachopoulos C, O'Rourke M. Genesis of the normal and abnormal arterial pulse. Curr Probl Cardiol. 2000;25:303–367
  22. Kang IS, Redington AN, Benson LN, Macgowan C, Valsangiacomo ER, Roman K, et al. Differential regurgitation in branch pulmonary arteries after repair of tetralogy of Fallot: a phase-contrast cine magnetic resonance study. Circulation. 2003;107:2938–2943

PII: S0894-7317(10)00043-X

doi: 10.1016/j.echo.2010.01.004

Journal of the American Society of Echocardiography
Volume 23, Issue 5 , Pages 496-503 , May 2010

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