Doppler color-flow imaging assessment of shunt size in atrial septal defect

C Pollick, H Sullivan, B Cujec, S Wilansky
1988 Circulation  
Two-dimensional echocardiography and pulsed-Doppler studies have not proved to be reliable methods of assessing left-to-right shunt size in atrial septal defect. Doppler color-flow imaging displays the transatrial jet, providing a new dimension with the potential capability of quantifying left-to-right shunt size. Twenty-three patients with atrial septal defect were studied by color-flow imaging and cardiac catheterization. The defect size measured by two-dimensional echocardiography, the
more » ... iography, the maximal color-flow jet width in the atrial septum, and the maximal color-flow jet area in the right atrium were correlated with cardiac catheterization-derived left-to-right shunt size. Correlation coefficients were 0.57 (p<0.01), 0.67 (p<0.001), and 0.65 (p15 mm in all). These results indicate that Doppler color-flow imaging can distinguish left-to-right shunt size in atrial septal defect accurately enough to influence decisions with regard to subsequent patient management. (Circulation 1988;78:522-528)
doi:10.1161/01.cir.78.3.522 pmid:2970335 fatcat:oqwlus5xanc3xby7rfmn7fvdtu