Korean Circ J. 1994 Apr;24(2):259-271. Korean.
Published online Apr 30, 1994.
Copyright © 1994 The Korean Society of Circulation
Original Article

Pulmonary Venous Flow Pattern by Color Doppler Echocardiography in Childhood

Young Mi Hong, M.D.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Background

    Biphasic or triphasic or quadriphasic pattern of pulmonary venous flow has been described by color Doppler echocardiography in normal subjects. Absolute velocity measurements varied with the position of the probe in relation to the pulmonary vein. The purpose of this study is to evaluate the normal pulmonary venous flow pattern and compare the data according to age, body weight, height and body surface area.

    Methods

    244 normal children underwent transthoracic echocardiography from December 1992 to July 1993. Age ranged from newborns to 13 years. From the apical four chamber view, pulmonary venous flow velocity and integral were obtained.

    Results

    Quadriphasic pulmonary flow pattern(early systolic flow, late systolic flow, diastolic flow, atrial reversal flow) was identified. Pulmonary venous peak flow velocity was not different according to increasement of age, body weight, height or body surface area. But pulmonic flow integral was significantly increased according as increasement of age, body weight, height, or body surface area.

    Conclusion

    Transthoracic color Doppler echocardiography is a good noninvasive diagnostic tool to evaluate pulmonary venous flow pattern in children.

    Keywords
    Color doppler echocardiography; Pulmonary venous flow pattern


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