Tetralogy of fallot echocardiography

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Tetralogy of fallot Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

Echocardiography establishes the initial diagnosis of Tetralogy of Fallot, and is useful in evaluating the hemodynamic abnormalities that are present. Right to left shunting through the VSD can be visualized by color Doppler imaging, and the severity of right ventricular outflow tract obstruction can be determined by spectral Doppler measurements.

Echocardiographic Findings

The following abnormalities will be observed on echocardiography:

Optimal Views

  • Parasternal long-axis view
  • Short-axis view (to evaluate size of septal defect)

Post-Operative Evaluation

  • Evaluation of VSD repair
  • Residual shunting
  • Right ventricular size and contractility
  • Right ventricular outflow tract for residual stenosis
  • Severity of pulmonary regurgitation

ACC / AHA Guidelines - Recommendations for post-operative echocardiography in Repaired Patients in Tetralogy of Fallot (DO NOT EDIT)

Class I
"1.Comprehensive echocardiographic imaging should be performed in a regional ACHD center to evaluate the anatomy and hemodynamics in patients with repaired tetralogy of Fallot.(Level of Evidence: B) "

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