Prediction of biventricular repair by echocardiography in borderline ventricle  

作　　者：Xiao-Jing Ma Guo-Ying Huang 

机构地区：[1]Heart Center, Children’s Hospital of Fudan University, Shanghai 201102, China [2]National Children’s Medical Center, Shanghai 201102, China [3]Shanghai Key Laboratory of Birth Defects, Shanghai 201102, China

出　　处：《Chinese Medical Journal》2019年第17期2105-2108,共4页中华医学杂志（英文版）

摘　　要：Objective: In recent years, attempting the biventricular pathway or biventricular conversions in patients with borderline ventricle has become a hot topic. However, inappropriate pursuit of biventricular repair in borderline candidates will lead to adverse clinical outcomes. Therefore, it is important to accurately assess the degree of ventricular development before operation and whether it can tolerate biventricular repair. This review evaluated ventricular development using echocardiography for a better prediction of biventricular repair in borderline ventricle. Data sources: Articles from January 1, 1990 to April 1, 2019 on biventricular repair in borderline ventricle were accessed from PubMed, using keywords including "borderline ventricle,""congenital heart disease,""CHD,""echocardiography," and "biventricular repair." Study selection: Original articles and critical reviews relevant to the review’s theme were selected. Results: Borderline left ventricle (LV):(1) Critical aortic stenosis: the Rhodes score, Congenital Heart Surgeons Society regression equation and another new scoring system was proposed to predict the feasibility of biventricular repair.(2) Aortic arch hypoplasia: the LV size and the diameter of aortic and mitral valve (MV) annulus should be taken into considerations for biventricular repair.(3) Right-dominant unbalanced atrioventricular septal defect (AVSD): atrioventricular valve index (AVVI), left ventricular inflow index (LVII), and right ventricle (RV)/LV inflow angle were the echocardiographic indices for biventricular repair. Borderline RV:(1) pulmonary atresia/intact ventricular septum (PA/IVS): the diameter z-score of tricuspid valve (TV) annulus, ratio of TV to MV diameter, RV inlet length z-score, RV area z-score, RV development index, and RV-TV index, etc. Less objective but more practical description is to classify the RV as tripartite, bipartite, and unipartite. The presence or absence of RV sinusoids, RV dependent coronary circulation, and the degree of tricuspid regurgitation

关 键 词：BORDERLINE VENTRICLE CONGENITAL HEART disease ECHOCARDIOGRAPHY BIVENTRICULAR repair 

分 类 号：R[医药卫生]