Diagnosis of Congenital Pulmonary Venous stenosis by Color Doppler Echocardiography

  • Zhi-fang Zhang, Department of Pediatric Cardiology, Shanghai Children’s Medical Center, Shanghai Jiaotong University, China
  • Yu-qi Zhang, Department of Pediatric Cardiology, Shanghai Children’s Medical Center, Shanghai Jiaotong University, China
  • Dr Kun Sun, Department of Pediatric Cardiology, Shanghai Children’s Medical Center, China
  • Yi-qing Liu, Department of Pediatric Cardiology, Shanghai Children’s Medical Center, Shanghai Jiaotong University, China
  • Rong Shen, Department of Pediatric Cardiology, Shanghai Children’s Medical Center, Shanghai Jiaotong University, China

    • Objective: To evaluate the diagnostic value of color doppler echocardiography for the diagnosis of congenital pulmonary venous stenosis (PVS).
    Methods: A retrospective echocardiography review of 15 patients with PVS confirmed by catheterization, Magnetic Resonance Imaging (MRI) or surgical operation.
    Results: Among 15 PVS patients, six patients had right pulmonary veins stenosis, four patients (66.7%) were diagnosed correctly by echocardiography, and 2 patients (33.3%) were missed. Four patients had left pulmonary vein stenosis, all patients were diagnosed correctly. Five patients had both side pulmonary vein stenosis, four patients (80%) were diagnosed correctly and one patient with left pulmonary vein stenosis was missed Four patients (26.7%) were simplex PVS, eleven patients (73.3%) were found to accompany with other cardiovascular anomalies. The most common associated anomalies were atrial septal defect, ventricular septal defect, patent ductus arteriosus, completely atrioventricular septal defect and double outlet of right ventricle.
    Conclusion: By fully aware and understanding of this anomaly, PVS could be diagnosed accurately by color doppler echocardiography.