Two-dimensional echocardiographic determination of ventricular septal defect size

Correlation with autopsy

Dawod S. Sharif, James C. Huhta, Pablo Marantz, Hal K. Hawkins, Grace Y. Yoon

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

The presence of a large ventricular septal defect (VSD) may affect the surgical treatment of congenital heart defects. VSD size and shape by two-dimensional echocardiography (2DE) and at autopsy were compared in 18 patients, average age 6 months, who had 2DE studies shortly prior to death. Six had isolated VSD and the other 12 had additional cardiac anomalies. The maximal diameter of the VSD was measured in long- and short-axis views and the VSD area was calculated assuming an elliptical shape. A large VSD was present in 11 of 18 (61%) and was correctly detected by 2DE in 10 of 11 (91%, no false positives). 2DE-predicted area of VSDs correlated with autopsy measurements (r = 0.94). The shape and orientation of the VSD were correctly predicted by 2DE (16 of 18); it was elliptical in 13 and circular in five, with the major axis of the elliptical VSDs aligned with the short axis of the heart in eight and with the long axis in five. The diameters of the VSD ranged from 3 to 25 mm (r = 0.93). Diameters measured from the long-axis and short-axis views correlated with autopsy (r = 0.98 and 0.89, respectively). Thus: (1) 2DE was useful in distinguishing large VSDs from smaller defects, and in measuring their diameters and areas. (2) The shape and orientation of the VSD were well predicted by 2DE.

Original languageEnglish (US)
Pages (from-to)1333-1336
Number of pages4
JournalAmerican Heart Journal
Volume117
Issue number6
DOIs
StatePublished - 1989
Externally publishedYes

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Ventricular Heart Septal Defects
Autopsy
Septum of Brain
Congenital Heart Defects
Echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Two-dimensional echocardiographic determination of ventricular septal defect size : Correlation with autopsy. / Sharif, Dawod S.; Huhta, James C.; Marantz, Pablo; Hawkins, Hal K.; Yoon, Grace Y.

In: American Heart Journal, Vol. 117, No. 6, 1989, p. 1333-1336.

Research output: Contribution to journalArticle

Sharif, Dawod S. ; Huhta, James C. ; Marantz, Pablo ; Hawkins, Hal K. ; Yoon, Grace Y. / Two-dimensional echocardiographic determination of ventricular septal defect size : Correlation with autopsy. In: American Heart Journal. 1989 ; Vol. 117, No. 6. pp. 1333-1336.
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