Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 166-173 , March 1996

Doppler echocardiographic analysis of flow in the ductus arteriosus of infants with hypoplastic left heart syndrome: Relationship of flow patterns to systemic oxygenation and size of interatrial communication

  • Jack Rychik, MD

      Affiliations

    • Corresponding Author InformationReprint requests: Jack Rychik, MD, the Non-Invasive Cardiovascular Laboratories, Division of Cardiology, The Children's Hospital of Philadephia, 34th St. and Civic Center Blvd., Philadelphia, PA 19104.
    • From the Division of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Division of Cardiothoracic Surgery, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Department of Pediatrics, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • the Department of Surgery, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • ,
  • Scott D. Gullquist, MD

      Affiliations

    • From the Division of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Division of Cardiothoracic Surgery, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Department of Pediatrics, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • the Department of Surgery, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • ,
  • Marshall L. Jacobs, MD

      Affiliations

    • From the Division of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Division of Cardiothoracic Surgery, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Department of Pediatrics, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • the Department of Surgery, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • ,
  • William I. Norwood, MD, PhD

      Affiliations

    • From the Division of Cardiology, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Division of Cardiothoracic Surgery, the Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA
    • the Department of Pediatrics, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA
    • the Department of Surgery, the University of Pennsylvania School of Medicine. Philadelphia, Pennsylvania, USA

References 

  1. Norwood WI, Lang P, Hansen DD. Physiologic repair of aortic atresia-hypoplastic left heart syndrome. N Engl J Med. 1988;308:23–26
  2. Murdison KA, Baffa JM, Farrell PE, et al.  Hypoplastic left heart syndrome: outcome after initial reconstruction and before modified Fontan procedure. Circulation. 1990;82:IV-199–IV-207 (suppl)
  3. Jonas RA, Lang P, Hansen D, Hickey P, Castaneda AR. First stage palliation of hypoplastic left heart syndrome: the importance of coarctation and shunt size. J Thorac Cardiovasc Surg. 1986;92:6–13
  4. Gustafson RA, Murray GF, WArden HE, Hill RC, Rozar GE. Stage I palliation of hypoplastic left heart syndrome: the importance of neoaorta reconstruction. Ann Thorac Surg. 1989;48:43–50
  5. Meliones JN, Snider AR, Bove EL, Rosenthal A, Rosen DA. Longitudinal results after first-stage palliation for hypoplastic left heart syndrome. Circulation. 1990;82:IV-151–IV-6 (suppl)
  6. Rossi AF, Sommer RJ, Lotvin A, et al.  Usefulness of intermittent monitoring of mixed venous oxygen saturation after stage I palliation for hypoplastic left heart syndrome. Am J Cardiol. 1994;73:1118–1123
  7. Iannettoni MD, Bove EL, Mosca RS, et al.  Improving results with first-stage palliation for hypoplastic left heart syndrome. J Thorac Cardiovasc Surg. 1994;107:934–940
  8. Bailey LL, Nehlsen-Cannarella SL, Doroshow RW, et al.  Cardiac allotransplantation in newborns as therapy for hypoplastic left heart syndrome. N Engl J Med. 1986;315:949–951
  9. Chiavarelli M, Gundry SR, Razzouk AJ, Bailey LL. Cardiac transplantation for infants with hypoplastic left heart syndrome. JAMA. 1993;270:2944–2947
  10. Turrentine MW, Kesler KA, Caldwell R, et al.  Cardiac transplantation in infants and children. Ann Thorac Surg. 1994;57:546–553
  11. Norwood WI. Hypoplastic left heart syndrome. Cardiol Clin. 1989;7:377–385
  12. Emery JR. Strategies for prolonged survival before heart transplantation in the neonatal intensive care unit. J Heart Lung Transplant. 1993;12:S161–S163
  13. Chin AJ, Weinberg PM, Barber G. Subcostal two-dimensional echocardiographic identification of anomalous attachment of septum primum in patients with left atrioventricular valve underdevelopment. J Am Coll Cardiol. 1992;19:135–141
  14. Barnea O, Austin EH, Richman B, Santamore WP. Balancing the circulation: theoretic optimization of pulmonary/systemic flow ratio in hypoplastic left heart syndrome. J Am Coll Cardiol. 1994;24:1376–1381
  15. Bass JL, Berry JM, Einzig S. Flow in the aorta and patent ductus arteriosus in infants with aortic atresia or aortic stenosis: a pulsed Doppler ultrasound study. Circulation. 1986;74:315–322
  16. Hatle L, Angelsen B. Doppler ultrasound in cardiology: physical principles and clinical applications. In: Philadelphia: Lea & Febiger; 1985;p. 306–320
  17. Jobes DR, Nicolson SC, Steven JM, Miller M, Jacobs ML, Norwood WI. Carbon dioxide prevents pulmonary overcirculation in hypoplastic left heart syndrome. Ann Thorac Surg. 1992;54:150–151
  18. Mora GA, Pizarro C, Jacobs ML, Norwood WI. Experimental model of single ventricle: influence of carbon dioxide on pulmonary vascular dynamics. Circulation. 1994;90:II-43–II-46
  19. Canter CE, Moorehead S, Huddleston CB, Spray TL. Restrictive atrial septal communication as a determinant of outcome of cardiac transplantation for hypoplastic left heart syndrome. Circulation. 1993;88:II-456–II-460

PII: S0894-7317(96)90024-3

Journal of the American Society of Echocardiography
Volume 9, Issue 2 , Pages 166-173 , March 1996

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