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Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia Annals of Cardiac Anaesthesia
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Table of Contents
VIDEO COMMENTARY 2  
Year : 2016  |  Volume : 19  |  Issue : 2  |  Page : 339
Echocardiography for residual VSD


Professor, Cardiac Anaesthesia, CTC, AIIMS, New Delhi - 110029, India

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Date of Web Publication1-Apr-2016
 

How to cite this article:
Kapoor PM. Echocardiography for residual VSD. Ann Card Anaesth 2016;19:339

How to cite this URL:
Kapoor PM. Echocardiography for residual VSD. Ann Card Anaesth [serial online] 2016 [cited 2019 Nov 18];19:339. Available from: http://www.annals.in/text.asp?2016/19/2/339/179632


Introduction



The echogenic patch on the septum suggests a previous repair. (Video 1)




TEE Views: A midesophageal inflow-outflow view; transgastric inflow and transgastric outflow view are the best to size the VSD and know the shunt equation.

Additional VSD Post TOF Repair [Figure 2]
Figure 2:

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Aortic Regurgitation - Residual VSD (Video 2)




  • Identify the location, origin, size and blood flow of the pulmonary arteries and the VSD.


Post Operative Residual RVOTO (Video 3)




  • RVOT obstruction most common post TOF/DORV


Residual VSD Post Cardiac Surgery (Video 4)




  • In DORV: Posterior deviation of the outlet septum is seen which may increase the residual shunt.


Additional VSD After Closure of Aortic Regurgitation (Video 5)




  • High gradient across the Left ventricle, post aortic valve replacement.


Additional vsd After Intra-Cardiac Repair (Video 6)




  • Mostly muscular may have significant negative clinical impact, but deranged haemodynamics for good Patient Outcome.
  • 3D TEE can be useful in revealing failed VSD surgical repair.




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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.179632

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    Figures

  [Figure 1], [Figure 2]



 

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