A Misclassification of Pulmonary Stenosis Using Conventional Echocardiographic Methods

The classification of pulmonary stenosis (PS) severity based on the transpulmonary pressure gradient, which is affected by flow rate. We report the first case of a pregnant patient with atrial septal defect (ASD) and pulmonary stenosis that was misclassified by conventional echocardiographic methods...

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Bibliographic Details
Published in:Balkan medical journal 2018-01, Vol.35 (1), p.105-107
Main Authors: Kemaloğlu Öz, Tuğba, Eren, Mehmet, Gürol, Tayfun, Soylu, Özer, Dağdeviren, Bahadır
Format: Article
Language:English
Subjects:
Atrial septal defect
Cardiology
Cardiovascular disease
Care and treatment
Case Report
Case studies
Classification
Congenital diseases
Defects
Diagnosis
Dyspnea
echocardiography
Echocardiography - methods
Echocardiography, Three-Dimensional - methods
Echocardiography, Transesophageal - methods
Electrocardiography
Female
Heart rate
Heart Septal Defects, Atrial - classification
Heart Septal Defects, Atrial - diagnostic imaging
Humans
Predictive Value of Tests
Pregnancy
pulmonary stenosis
Pulmonary valve stenosis
Pulmonary Valve Stenosis - classification
Pulmonary Valve Stenosis - diagnostic imaging
three-dimensional echocardiography
Tıp
Ultrasonic imaging
Velocity
Womens health
Young Adult
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Summary:The classification of pulmonary stenosis (PS) severity based on the transpulmonary pressure gradient, which is affected by flow rate. We report the first case of a pregnant patient with atrial septal defect (ASD) and pulmonary stenosis that was misclassified by conventional echocardiographic methods. Most importantly, three-dimensional transoesophageal echocardiographic assessment of pulmonary stenosis changed the entire treatment strategy. The planimetric calculation of the pulmonary valve (PV) opening area using three-dimensional transoesophageal echocardiographic may be helpful, especially in encounters with specialized conditions such as ASD and/or pregnancy, which can cause inaccurate recordings of the transvalvular peak gradient.
ISSN:2146-3123
2146-3131
DOI:10.4274/balkanmedj.2016.0903