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Updated: Jul 7, 2026

Assessment of Right Ventricular Structure and Function in Mouse Model of Pulmonary Artery Constriction by Transthoracic Echocardiography
Published on: February 3, 2014
Right and left ventricular volume characteristics in children with pulmonary stenosis and intact ventricular septum
Insights
In patients with isolated pulmonary stenosis (PS), right and left ventricular function are normal. However, PS with a right-to-left atrial shunt indicates depressed ventricular function, necessitating RV volume assessment for management.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Echocardiography
Background:
- Pulmonary stenosis (PS) is a common congenital heart defect.
- Assessing ventricular function is crucial for managing PS patients.
- Distinguishing isolated PS from PS with shunts is important for treatment.
Purpose of the Study:
- To evaluate right ventricular (RV) and left ventricular (LV) volume variables in patients with PS.
- To compare ventricular function in isolated PS versus PS with a right-to-left atrial shunt.
- To determine the clinical utility of RV volume assessment in PS management.
Main Methods:
- Cardiac catheterization was performed on 27 patients with PS.
- Patients were divided into isolated PS (group I) and PS with shunt (group II).
- RV and LV volumes were calculated using Simpson's rule and area-length methods.
Main Results:
- In isolated PS, RV ejection fraction was normal, but RVEDV/LVEDV ratio was reduced.
- RV end-diastolic volume decreased with age and obstruction severity in isolated PS.
- In PS with shunt, RV and LV volumes showed depressed function, despite normal RV ejection fraction.
Conclusions:
- Ventricular function is generally normal in children with isolated PS.
- RV volume assessment is not essential for managing isolated PS.
- PS with a right-to-left atrial shunt shows signs of depressed ventricular function, making RV volume quantitation helpful for management.
Abstract:
Right (RV) and left ventricular (LV) volume variables were calculated in 27 patients with pulmonary stenosis (PS) during routine cardiac catheterization. These included 21 patients with isolated PS (group I) and seven studies in six patients (group II) with PS and right-to-left atrial shunt. Right and left ventricular volumes were calculated according to Simpson's rule and the area length methods respectively. In group I, right ventricular end-diastolic volume (RVEDV) was not different from normal, RVEF (0.70 +/- 0.02) was significantly higher than normal, and right ventricular stroke index (RVSI) (4.36/L/min/M2 +/- 0.23) was normal. The RVEDV/LVEDV ratio was significantly less than normal (P=0.001). Multiple regression analysis indicated that RVEDV (% of normal) decreased with both age and severity of RV outflow obstruction (r=0.77). In group II, RVEDV and RVSI were both less than normal (P less than 0.001), while RVEF was normal. LVEDV in the group was slightly higher than normal (P=0.026) while LVEF was less than normal (P=0.027) and resulted in normal LVSI. The data suggest that RV and LV function in children with isolated PS are normal, and that knowledge of the RV volume variables is not essential for the management of these patients. In contrast, hearts of patients with PS and right-to-left interatrial shunt have evidence that suggest depressed ventricular function, and the quantitation of RV volume may be helpful in the management of these patients.
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