Pulmonary Insufficiency

Quantification Pulmonaliklep insufficiency

	Slight	Moderate	Severe
RV dimension	normal	normal/dilated	dilated
Density contour + CW signal	light + blunt	holds + variable	holds + steep
Systolic flow in pulmonary artery decreased in decreased slightly decreased slightly	Color Doppler signal narrow jet located under pulmonary wide level jet far into RV reaching broad retrograde jet outbound portion of pulmonary branches   Source: European Journal of Echocardiography (2010 ) 11, 223-244   Color doppler With color Doppler , the degree of expansion of the jet flow back into the right ventricle can be used to quantify the degree of pulmonary insufficiency enigzinds it is most commonly used . Continuous wave Also by continuous wave signal with an impression can be gekeregen on the severity of the pulmonary valve insufficiency. A Minimum insufficiency as seen in normal individuals : holodiastolisch signal dip by atrial contraction B Light insufficiency : holodiastolische backflow small reversal following atrial contraction only during inspiration C Moderate insufficiency : return of the return current to zero before the end of diastole to late diastolic antegrade flow in the pulmonary artery due to the atrial contraction both in inspiration and in expiration. D Severe insufficiency : short sharp backflow indicating rapid equilibration of pulmonary and RV diastolic and end-diastolic pressure with mid forward flow in the pulmonary artery . Source : Mulder B.J.M. , P. G. Pieper , Spitaels S.E.C. Congenital heart disease in adults . Bohn Stafleu of Loghum Houten / Diegem 1999 example Moderate pulmonary insufficiency References Lancellotti P, Tribouilloy C, Hagendorff A, Moura L, Popescu BA, Agricola E, Monin JL, Pierard LA, Badano L, Zamorano JL, and European Association of Echocardiography. European Association of Echocardiography recommendations for the assessment of valvular regurgitation. Part 1: aortic and pulmonary regurgitation (native valve disease). Eur J Echocardiogr. 2010 Apr;11(3):223-44. DOI:10.1093/ejechocard/jeq030 |