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Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography
Published on: January 27, 2023
Imaging of left-to-right shunt in adults
1The Heart Program, Nicklaus Children's Hospital, Miami, Florida, USA.
Insights
This review covers common adult congenital heart disease left-to-right shunts, focusing on anatomy, physiology, and imaging. Advanced echocardiography aids diagnosis and device closure, with noninvasive imaging crucial for management.
Area of Science:
- Cardiology
- Medical Imaging
- Congenital Heart Disease
Background:
- Left-to-right shunts are frequent in congenital heart disease.
- Understanding these lesions is vital for adult cardiac care.
Purpose of the Study:
- To review the anatomy, physiology, and imaging of the four most common adult left-to-right shunts.
- To provide guidance on follow-up imaging based on late complication data.
Main Methods:
- Comprehensive literature review of congenital heart disease shunts.
- Focus on diagnostic and interventional imaging modalities.
Main Results:
- Three-dimensional echocardiography enhances diagnosis and device closure assistance for left-to-right defects.
- Reported late complications inform follow-up imaging strategies.
Conclusions:
- Noninvasive imaging is essential for diagnosing and managing adult left-to-right shunts.
- Echocardiography is a key tool in the evaluation and treatment of these conditions.
Purpose Of Review:
Left-to-right shunts are commonly seen in congenital heart diseases. This review aims to review the anatomy, physiology, and imaging of the four most common left-to-right lesions in adults.
Recent Findings:
Reported late complications of left-to-right lesions provide guidance in follow-up imaging. Use of three-dimensional echocardiography helps not only in the diagnosis of these defects but also in assistance during device closure.
Summary:
Noninvasive imaging plays a significant role in the diagnosis and management of left-to-right lesions.
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