1.
CONGENITAL HEART DISEASE
ECHO FINDINGS PART 3

2.
• Segmental approach
• Abnormalities of RV inflow
• Abnormalities of LV inflow
• Abnormalities of RV outflow
• Abnormalities of LV outflow
• Coarctation of Aorta
• Abnormalities of cardiac septations (ASD, VSD, ECC)
• Abnormalities of vascular connections and structure
• Abnormalities of systemic venous connection
• Abnormal coronary circulation
• TOF, TGA, Truncus arteriosus, HLHS, TAPVC

3.
ABNORMALITIES OF CORONARY
CIRCULATION
• Anomalous origin of coronary artery
• Coronary artery fistula
• Coronary artery aneurysm

4.
• CT Angiography is the gold standard for non-
invasive imaging of coronaries
• On ECHO – PSAX at base
• Size and initial course
• TEE better
• What if not seen…..

5.
• Coronary anatomy imp. for Cong. Heart disease
• Implication in prognosis and surgical repair
• ALCAPA

6.
• Coronary artery fistula
Abnormal connection b/w coronary artery and
another blood vessel or chamber

7.
• Coronary artery aneurysm
Kawasaki disease
• Diameter of artery – Prognostic implication

8.
TETRALOY OF FALLOT

9.
• PLAX view - VSD and overriding of Aorta
PSAX view - extent and size of VSD, RVOT
50 % rule

10.
TRASPOSITION OF GREAT VESSELS
• RV -----> Aorta
• LV -----> Pulmonary artery
• Easiest way to identify is SC 4-C (in children)
• In adults –
- PSAX
- A4C

11.
Postoperative assessment in a TGA includes
• Myocardial dysfunction or regional wall motion
abnormalities (RWMA)
• Any residual defects (VSDs)
• Pulmonary hypertension
• Neoaortic valve regurgitation, neoaortic root dilatation
• Supravalvar aortic stenosis
• Supravalvar and branch PA stenosis.

12.
TRICUSPID ATRESIA
• Imperforate TV
• Hypoplasia of RV
• Inter atrial communication (m.c. PFO)
• Normally developed MV and LV
• A4C , Doppler study, PLAX

13.
THANK YOU