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Ann Thorac Surg 1985;40:625-627
© 1985 The Society of Thoracic Surgeons

Articles

The Uses of Two-Dimensional Doppler Echocardiographic Techniques Preoperatively and Postoperatively in a Ventricular Septal Defect Caused by Penetrating Trauma

Anthony P. Goldman, M.D., Morris N. Kotler, M.D.*, Steven E. Goldberg, M.D., R. Parameswaran, M.D., Wayne Parry

From the Division of Cardiology, Albert Einstein Medical Center, Philadelphia, PA

Accepted for publication May 19, 1985.

* Address reprint requests to Dr. Kotler, Albert Einstein Medical Center, York and Tabor Rd, Third Floor Klein Bldg, Philadelphia, PA 19141

Doppler echocardiography was used to determine the site and size of a ventricular septal defect in a patient with a penetrating wound of the heart. Additional physiological measurements by Doppler study, including pulmonary artery pressure and degree of left-to-right shunting, were helpful in deciding on surgical closure of the defect as the definitive therapy in this patient. Associated intracardiac defects (e.g., mitral or tricuspid regurgitation) can be excluded by Doppler echocardiography.




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