NDLI: Comparison of the offset distance of the tricuspid septal leaflet in neonates with Ebstein's anomaly and neonates with pulmonary atresia with intact ventricular septum.

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Comparison of the offset distance of the tricuspid septal leaflet in neonates with Ebstein's anomaly and neonates with pulmonary atresia with intact ventricular septum.

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Comparison of the offset distance of the tricuspid septal leaflet in neonates with Ebstein's anomaly and neonates with pulmonary atresia with intact ventricular septum.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kim, Min Jeong Yu, Jeong Jin Kang, So Yeon Seo, Chang Deok Baek, Jae Suk Kim, Young-Hwue Ko, Jae-Kon
Description	Country affiliation: South Korea Author Affiliation: Kim MJ ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Yu JJ ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Kang SY ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Seo CD ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Baek JS ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Kim YH ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.); Ko JK ( Division of Pediatric Cardiology,College of Medicine,University of Ulsan,Songpa-gu,Seoul,South Korea.)
Abstract	An indexed offset distance of the tricuspid septal leaflet â©¾8 mm/m2 is a quantitative criterion for the diagnosis of Ebstein's anomaly. The purpose of this study was to investigate the validity of this criterion for the discrimination of Ebstein's anomaly from pulmonary atresia with intact ventricular septum in neonatal patients. A total of 122 neonatal patients, 56 with Ebstein's anomaly and 66 with pulmonary atresia with intact ventricular septum, were enrolled. Diagnosis of each anomaly was based on typical morphologic features. Echocardiographic variables, including the offset distance of the tricuspid septal leaflet, were measured via an offline analysis of images recorded before 1 month of age. The offset distance of the tricuspid septal leaflet was indexed by the body surface area, and the indexed offset distances in the Ebstein's anomaly and pulmonary atresia with intact ventricular septum groups were 34.2 mm/m2 (7.1-119.1 mm/m2) and 7.2 mm/m2 (0.0-25.6 mm/m2), respectively. The indexed offset distance was â©¾8 mm/m2 in 29 (43.9%) of the patients with pulmonary atresia with intact ventricular septum; clinical and echocardiographic characteristics were comparable between these 29 patients and the remaining 37 patients with pulmonary atresia with intact ventricular septum. When an indexed offset distance â©¾8 mm/m2 was applied as a cut-off for the diagnosis of Ebstein's anomaly, the sensitivity was 0.963 and the specificity was 0.561. In conclusion, indexed offset distance â©¾8 mm/m2 cannot be used as a cut-off for the diagnosis of complicated Ebstein's anomaly in neonatal patients with pulmonary atresia with intact ventricular septum.
File Format	HTM / HTML
ISSN	10479511
Issue Number	1
Volume Number	25
e-ISSN	14671107
Journal	Cardiology in the Young
Language	English
Publisher	Cambridge University Press
Publisher Date	2015-01-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Cardiology Discipline Pediatrics Abnormalities, Multiple Ebstein Anomaly Heart Defects, Congenital Heart Ventricles Pulmonary Atresia Tricuspid Valve Abnormalities Ventricular Septum Echocardiography Female Humans Infant, Newborn Male Retrospective Studies Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Pediatrics, Perinatology and Child Health Cardiology and Cardiovascular Medicine

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