title: Tissue Doppler echocardiography before and after the surgical reconstruction of an insufficient mitral valve in a patient with Fontan circulation.
abstract: We report a patient with tricuspid atresia after total cavopulmonary connection who developed significant mitral valve regurgitation. Doppler myocardial echocardiography tracings showed "pseudonormalization" of diastolic velocities. After successful surgical reconstruction of the mitral valve, the diastolic myocardial velocities changed to the typical Fontan physiology with predominant late diastolic ventricular filling.
authors.affiliation: Department of Pediatric Cardiology and Congenital Heart Disease, Deutsches Herzzentrum München, Technische Universität, Lazarettstrasse 36, D-80636 Munich, Germany. eicken@dhm.mhn.de
authors.forename: K
authors.initials: K
authors.lastname: Petzuch
authors.forename: A
authors.initials: A
authors.lastname: Eicken
authors.forename: J
authors.initials: J
authors.lastname: Marek
authors.forename: M
authors.initials: M
authors.lastname: Vogel
authors.forename: C
authors.initials: C
authors.lastname: Schreiber
authors.forename: J
authors.initials: J
authors.lastname: Hess
mesh_terms: D001783:Blood Flow Velocity; D002648:Child; D015150:Echocardiography, Doppler; D005260:Female; D018729:Fontan Procedure / Q000009:adverse effects; D018610:Heart Bypass, Right; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology* / Q000601:surgery; D009200:Myocardial Contraction; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012086:Reoperation; D018785:Tricuspid Atresia / Q000503:physiopathology / Q000601:surgery