Relationships between Left Heart Chamber Dilatation on Echocardiography and Left-to-Right Ventricle Shunting Quantified by Cardiac Catheterization in Children with Ventricular Septal Defects

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dc.authoridKOCA, BÜLENT/0000-0003-1399-596X
dc.authoridGokalp, Selman/0000-0003-3812-2081
dc.authoridEROGLU, AYSE GULER/0000-0001-6579-0670
dc.authorwosidKOCA, BÜLENT/AAE-4915-2020
dc.authorwosideroglu, ayse guler/D-2629-2019
dc.authorwosidGokalp, Selman/C-7730-2019
dc.contributor.authorGokalp, Selman
dc.contributor.authorEroglu, Ayse Guler
dc.contributor.authorSaltik, Levent
dc.contributor.authorKoca, Bulent
dc.date.accessioned2024-06-12T11:19:28Z
dc.date.available2024-06-12T11:19:28Z
dc.date.issued2014
dc.departmentTrakya Üniversitesien_US
dc.description.abstractLeft atrium and/or left ventricle dilatation on echocardiography is considered to be an indication for closure of ventricular septal defects (VSD). No study has addressed the accuracy of using dilated left heart chambers when defining significant left-to-right shunting quantified by cardiac catheterization in isolated small or moderate VSDs. In this study, the relation between dilated left heart chambers, measured by echocardiography, and left-to-right ventricle shunting, quantified by cardiac catheterization, was evaluated in patients with isolated VSD. The medical records of all patients with isolated VSD who had undergone catheterization from 1996 to 2010 were examined retrospectively. Normative data for left heart chambers adjusted for body weight (BW) and body surface area (BSA) were used. The pulmonary-to-systemic flow ratio (Qp:Qs) was calculated by an oximetry technique. A total of 115 patients (mean age 7.3 +/- A 5 years) fulfilled the inclusion criteria. There was a statistically significant difference in terms of Qp:Qs between the patient groups with normal and dilated left heart chambers, when adjusted for BW and BSA (p = 0.001 and p = 0.002, respectively). But the relationships between Qp:Qs and left heart chamber sizes on echocardiography were not strong enough to be useful for making surgical decisions, as left heart chamber dilatation was not significantly associated with Qp:Qs a parts per thousand yen 2 (p = 0.349 when adjusted for BW, p = 0.107 when adjusted for BSA). Left heart chamber dilatation was significantly associated with Qp:Qs a parts per thousand yen 1.5 only when it was adjusted for BSA (for BW p = 0.022, for BSA p = 0.006). As a result, left heart chamber dilatation measured by echocardiography does not show significant left-to-right ventricle shunting, as quantified by catheterization. We still advocate that catheter angiography should be undertaken when left heart chambers are dilated in echocardiography in order to make decisions about closing small- to moderate-sized VSD.en_US
dc.identifier.doi10.1007/s00246-013-0839-5
dc.identifier.endpage698en_US
dc.identifier.issn0172-0643
dc.identifier.issn1432-1971
dc.identifier.issue4en_US
dc.identifier.pmid24259011en_US
dc.identifier.scopus2-s2.0-84897079188en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage691en_US
dc.identifier.urihttps://doi.org/10.1007/s00246-013-0839-5
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25198
dc.identifier.volume35en_US
dc.identifier.wosWOS:000333165400019en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofPediatric Cardiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNatriuretic Peptideen_US
dc.subjectSurface-Areaen_US
dc.subjectClosureen_US
dc.subjectAtrialen_US
dc.subjectVolumeen_US
dc.subjectDiseaseen_US
dc.subjectInfancyen_US
dc.titleRelationships between Left Heart Chamber Dilatation on Echocardiography and Left-to-Right Ventricle Shunting Quantified by Cardiac Catheterization in Children with Ventricular Septal Defectsen_US
dc.typeArticleen_US

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