Interatrial septum in B‐mode and conventional echocardiograms ‐ a clue for the diagnosis of congenital heart diseases

Journal of Clinical Ultrasound - Tập 3 Số 1 - Trang 29-37 - 1975
Masayuki Matsumoto1, Yasuharu Nimura2, Seiki Nagata2, Shigeki Mochizuki2, Hiroshi Sakakibara2, Hirohíde Matsuo3, Hiroshi Abe4
1The First Department of Medicine, Osaka University Medical School, 3‐chome, Dojima‐Hamadori, Fukushima‐ku, Osaka 553, Japan
2First Department of Medicine, Osaka University Medical School, Fukushima-ku, Osaka, Japan
3The First Department of Medicine, Osaka University Medical School
4The Central Laboratory for Clinical Investigation, Osaka University Hospital

Tóm tắt

Abstract

The interatrial septum was studied with B‐mode echocardiography to determine whether there were specific ultrasonic features characteristic of such congenital heart diseases as atrial septal defect and endocardial cushion defect. In transverse tomograms in the third and fourth intercostal space the interatrial septum is detected almost parallel to the anterior chest wall. The septum continues leftward to the echo of the anterior mitral leaflet. When the interatrial septum extends beyond the left sternal border, it can also be recorded near the left sternal border in the sagittal tomogram. The interatrial septum can also be recorded conventional echocardiography. The pattern is wavy and synchronous with the heart beat with an amplitude of about 10 mm. It is seen near the chest wall in patients with left atrial enlargement and far from the chest wall in patients with right atrial enlargement. The defect in the interatrial septum was visualized B‐mode and conventional echocardiogram in patients with ostium secundum atrial septal defect. The defects were no longer observed after surgery.

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Tài liệu tham khảo

10.1148/106.1.187

10.1161/01.CIR.47.3.597

Matsumoto M, 1972, Ultrasonographic features of cor triatriatum‐a case report, Shinzo, 4, 1353

10.1016/0002-8703(74)90016-7

Nagata S, 1974, Ultrasonographic features of high ventricular septal defect and overriding of the aorta in tetralogy of Fallot studied with ultrasonocardiotomography and conventional echocardiography, Shinzo, 6, 1680

10.1161/01.CIR.43.1.129

10.1161/01.CIR.49.3.418

Nimura Y, 1971, Ultrasonigraphia Medica, 437

Matsumoto M, 1973, Ultrasonic features of interatrial septum: Its motion analysis and detection of its defect, Jap Circul J, 37, 1383

NimuraY MatsumotoM NagataS MatsuoH SakakibaraH KawashimaY andAbeH:Noninvasive detection of atrial septal defect with ultrasonocardiotomography. (In preparation)

NimuraY MatsuoH MatsumotoM BeppuS NagataS TamaiM andAbeH:Ultrasonocardiotomogram and conventional echocardiogram in endocardial cushion defect. Proceedings of the 24th Scientific Meeting of the Japan Society of Ultrasonics in Medicine p.111 1973.

10.1148/92.5.939

10.1536/ihj.8.331

10.1136/hrt.33.5.686

10.1148/103.2.387

10.1161/01.CIR.48.6.1215

King DL, 1973, Real‐time cross‐sectional ultrasonic imaging of the heart using a linear array multielement transducer, J Clin Ultra, 1, 196

Nimura Y, 1971, Interatrial septum in ultrasonocardiotomogram and ultrasound cardiogram, Med Ultrason, 9, 58

Kikuchi Y, 1971, Ultrasonographia Medica, 423

Nimura Y, 1967, Studies on spatial relations between findings in the ultrasound cardiogram of the mitral anterior cusp and those in the ultrasound tomogram of the heart, Med Ultrason, 5, 44