By Dr. Jean Paul Lintermans, Dr. Willem Gerrit van Dorp (auth.)
Dr. Jean Lintermans got here to Seattle in 1962 from his basic pediatric residency on the collage of Iowa. He labored with us in medical pediatric cardiology and in our animal body structure laboratory for the following 3 years. He used to be the most efficient person within the background of our education software, publishing seven papers in these 3 years, 4 scientific papers and 3 concerning pulsed ultrasonic flowmeters and implanted ultrasonic displacement units in animals. The paintings, from laboratory to ebook, was once regularly performed with the maximum recognition to accuracy, and used to be good constructed conceptually. even if English was once now not his local language, Jean's mastery of English used to be not just first-class, I felt that he truly communicated higher than lots of our local physicians. up to now 12 months, i used to be thrilled to profit that Jean was once getting ready a textbook on pediatric echocardiography with Dr. van Dorp, and used to be much more happy to be requested to write down a foreword .. besides the fact that, the best excitement got here from truly examining this booklet, and discovering that it does certainly have a special strategy, and with the extra actual profit to the reader of a radical, constant, segmental method of the prognosis of congenital middle disease.
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Additional resources for Differential Diagnosis in Pediatric Echocardiography
The recording of two AV valves without intervening septal echoes (see Fig. 2) is due to the fact that the IVS is abnormally oriented, lying in a plane parallel to the incident sound waves. In these cases, diagnosis is still possible, as the two AV valves may be identified by studying their respective closure time, knowing that in transposition the tricuspid valve usually closes first. 1) Echocardiographic data on these patients are scarce. The diagnosis will remain difficult, because many varieties of DOR V exist.
19 20 20 20 20 21 21 21 23 23 23 23 24 24 26 27 27 27 28 28 28 28 29 29 29 29 Introduction Although a segmental approach was advocated to arrive at a correct echocardiographic diagnosis of a complex heart lesion (Chaps. 1-3), some complicated heart abnormalities can be recognized ultrasonically, essentially through the documentation of abnormal patterns  such as echocardiographic discontinuity. Normally, echocardiographic continuity exists between: (1) the IVS and a semilunar cusp (or anterior continuity); (2) the AMVL and a semilunar cusp (or posterior continuity); (3) the interatrial septum and the IVS; and (4) the interatrial septum and the mitral valve.
1) As little as 15 ml of pericardial fluid is detectable by ultrasonic examination of the heart . With large effusions, fluid accumulates not only behind the left ventricle but also anteriorly between the right heart border and the chest wall. Exceptionally, with effusions under high pressure, it may collect behind the left atrium . Fig. 1. MF: Echo trace obtained from a child one week after TV replacement for an Ebstein's anomaly. 1 Behind the Left Ventricle 49 In practice, considerable skill and experience are required to diagnose pericardial effusion; indeed, the gain settings on the instruments must be appropriate, a complete scan is mandatory, and recording devices should be used optimally.
Differential Diagnosis in Pediatric Echocardiography by Dr. Jean Paul Lintermans, Dr. Willem Gerrit van Dorp (auth.)