Ultrasonic evaluation of different congenital heart diseases with mitral regurgitation / 上海交通大学学报（医学版）

ABSTRACT

Objective·To evaluate the characteristics of different congenital heart diseases (CHD) with mitral regurgitation (MR) by two-dimensional echocardiography. Methods?·?A total of 217 patients with simple CHD and MR and 85 normal children (control group) were enrolled for analysis. All the patients with MR were divided into 3 groups, i.e. ventricular septal defect (VSD) with MR, patent ductus arteriosus (PDA) with MR and coarctation (CoA) with MR. The size of defects, the peak pressure gradient of CoA and the malformation of mitral valve were described respectively in MR groups by echocardiography. In addition, the bore of left atrioventricular cavity, the left ventricular ejection fraction (LVEF) and the diameter of mitral valve annulus were compared with control group. Results?·?Compared with control group, left atrium diameter, left ventricular diameter, mitral annular diameter (MAD), and MAD/tricuspid annulus diameter (MAD/TAD) increased in 3 MR groups, while only LVEF decreased significantly in CoA with MR group. The characteristics of CHD with MR were displayed as below. VSD was with less tissue formation and large defect diameter, the diameters of PDA were over 0.3 cm mostly and the peak pressure gradients of CoA were all above 48?mmHg (1?mmHg=0.133?kPa). Furthermore, there were different mitral valve morphology in the 3 MR groups. Conclusion?·?The mechanism of MR based on CHD may be related to increased atrioventricular cavity, MAD, MAD/TAD and abnormal morphology of mitral valve. These abnormal manifestations observed by two-dimensional echocardiography are useful for surgery in the patients with MR.