A study of the color Doppler ultrasonographic characteristics and regularity in levoversion deformity
HOU Chuan-ju1, QI Yan-mei2, DENG Dong-an1, ZHU Xian-yang1, HAN Xiu-min1, LI Bo1, LU Di3, XU Zhao-zhu1
1. Shenyang Military Region General Hospital, Shenyang 110840, China; 2. Jinqiu Hospital, Liaoning Province,Shenyang 110015, China; 3. Shenyang Children Hospital, Shenyang 110020, China
Abstract：Objective: To explore the image characteristics and regularity of color Doppler echocardiography(CDE) on levoversion deformity. Methods: Fifty-two patients with levoversion deformity were examined by CDE to explore their image characteristics and regularity. All cases with levoversion deformity underwent angiocardiography examination after CDE. Thirty-four cases were proved by surgical operations. Results: Forty-eight cases were diagnosed correctly by the features of CDE imaging. The diagnostic accuracy rate was 92.3%. The CDE characteristics of levoversion were: ①Levoversion can be associated with 8 kinds of complicated congenital heart disease, among which corrected transposition of the great arteries(34.6%) were common, bilocular heart(19.2%), double-inlet ventricle(15.4%), double outlet right ventricle(13.5%), and mitral atresia(11.6%) were less common, tricuspid atresia, complete transposition of the great arteries and persistent truncus arteriosus(1.9% each) were rare. ②Each kind of complicated congenital heart disease combined multiple congenital heart deformity, among which were transposition of the great arteries(98.1%), pulmonary stenosis(88.5%), ventricular septal defect(60.0%), atrial septal defect(38.5%) and patent ductus arteriosus(7.7%). ③With pulmonary stenosis, color Doppler flow image showed obvious signal of colorful mosaic jet through the pulmonary artery. With ventricular septal defect, atrial septal defect and patent ductus arteriosus, color Doppler flow image showed mild colorful flow signal of shunt. ④Despite the diversity of combined congenital heart disease, all cases of levoversion had a common CDE characteristic of atria situs inversus. Conclusions: The image characteristics and regularity of CDE on levoversion deformity were obvious. CDE can be used to correctly diagnose levoversion deformity, only if the operators of CDE have a clear idea of the anatomy of the levoversion. Before examination, reading front view chest X-ray image would be helpful to improve accuracy and efficiency of diagnosis.
侯传举;齐艳梅;邓东安;朱鲜阳;韩秀敏;李 波;卢 迪;许兆柱. 左旋心及合并畸形彩色多普勒超声心动图特征和规律性研究[J]. , 2011, 22(11): 780-782.
HOU Chuan-ju;QI Yan-mei;DENG Dong-an;ZHU Xian-yang;HAN Xiu-min;LI Bo;LU Di;XU Zhao-zhu. A study of the color Doppler ultrasonographic characteristics and regularity in levoversion deformity. , 2011, 22(11): 780-782.
2011, Vol. 22 
