Same child https://en.uzgraph.ru/forum/cases/0/56/tetralogy-o... after operative intervention under supervision in cardiocenter. From last document from cardiocenter: ligation of Blalock anastomosis, radical correction of congenital heart disease with plastic of left ventricle outflow tract(LVOT), PA, patent foramen ovale.
Comes to me because of long queue to echocardiography in cardiocenter.
At echocardiography: at PA bifurcation area retrograde flow(Blalock?); at the area of LVOT flow like IVSD or aortic regurgitation; tricuspidal regurgitation area about 40% of right atrium, PA systolic pressure = 19 mm Hg, PGmax(pressure gradient)PA/RV = 25 mm Hg, AT(acceleration time)PA = 94 msec; EFs(ejection fraction Simpson' s method) = 63%, Qp/Qs=3:1, RVW = 6 mm.
Child 2 yo aimed at re-echocardiography, condition after surgery (multi-stage) about Tetralogy of Fallot (in particular was imposed pulmonary-systemic anastomosis, which then, according to the words of accompanying person, was seemingly closed (?). The reason for the re-ultrasound was the previous US, where the sonologist wrote, by the accompanying person words, "strange" information - functioning anastomosis - which, as already mentioned above, seems was closed.
At current US on CFM in the projection of PA was visualized retrograde flow, in PW just diastolic, in CW systolic-diastolic (2 peaks)
In M-mode there was a paradoxical movement of the interventricular septum, it moves symmetrically with left ventricle posterior wall.
