Application and diagnostic value of echocardiography in classification of endocardial cushion defect

WU Dan; REN Wei-dong; XIAO Yang-jie; WANG Chao; SONG Guang; XU Min

Journal of China Clinic Medical Imaging ›› 2015, Vol. 26 ›› Issue (6) : 395-399.

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Application and diagnostic value of echocardiography in classification of endocardial cushion defect

WU Dan, REN Wei-dong, XIAO Yang-jie, WANG Chao, SONG Guang, XU Min

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Abstract

Objective: To observe the diagnostic significance and application value of echocardiography in detecting endocardial cushion defect(ECD). Methods: We performed a retrospective review of 172 patients with ECD diagnosed by echocardiography in our hospital, and their echocardiographic characters and clinic datas were studied. Results: Among all 172 cases of ECD, 89 cases(51.7%) were with complete type: type A occurred in 58 cases, type B in 7 cases and type C in 24 cases. Five cases(2.9%) were with intermediate type, 8 cases(4.7%) were with transitional type and 70 cases(40.7%) were with partial type. Valve hypoplasia and valve cleft(106 cases, 61.6%) were the most common accompanied endocardial malformations in patients with ECD, the second was secundum atrial septal defect(44 cases, 25.5%). While the complicated endocardial malformations were seen more often in complete type. Twenty-three cases were confirmed by surgery. Conclusion: Echocardiography can make accurate diagnosis about the classification of endocardial cushion defect and the associated abnormalities, and provide comprehensive reference information for making operation strategies.

Key words

Endocardial cushion defects / Echocardiography / Doppler / color

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WU Dan;REN Wei-dong;XIAO Yang-jie;WANG Chao;SONG Guang;XU Min. Application and diagnostic value of echocardiography in classification of endocardial cushion defect[J]. Journal of China Clinic Medical Imaging. 2015, 26(6): 395-399