Sequential segmental analysis

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Cardiac segmental analysis is derived from clinical examination, chest radiogrghy, 12 lead ECG and echocardiography.

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Sequential segmental analysis

  1. 1. Segmental Approach to congenital heart diseases RAMACHANDRA
  2. 2. THREE CARDIAC SEGMENTS ATRIA VENTRICLE GREAT ARTERIES
  3. 3. Sequential segmental analysis using Clinical examination Chest Radiogrghy 12 Lead Electrocardiography Echocardiography Cardiac position and apex orientation  Atrial arrangement  Atrioventricular connection  Ventriculoarterial connections  Associated malformations and function of segments
  4. 4. HISTORY OF IT • Richard Van Praagh 1960 • America • Maria Victoria de la Cruz 1960 • Mexico city • Echocardiography brought the term “sequential segmental analysis” 1970
  5. 5. Background All hearts can be considered in three segments: the atrial chambers, the ventricular mass and the great arteries. Sequential segmental analysis means to identify the component parts of the heart by their morphology and describe the interconnections in a sequential manner.
  6. 6. ATRIAL ARRANGEMENT
  7. 7. TYPES OF AV CONNECTION
  8. 8. AV VALVES
  9. 9. HAND
  10. 10. Ventricular topology Ventricular topology describes the spatial relationship of one ventricle to the other. There are two topologic patterns that are mirror images of each other. Right and left hand topology. Right hand topology is the normal pattern. Determination of ventricular topology requires first identification of the morphologic right ventricle. If the palmar surface of right hand can be placed on the septal surface, thumb in the inlet and the fingers toward the outlet and the wrist is at the apex, then this is the right –hand pattern[D-looped]. If only the left hand palm can be placed on the septal surface of the right ventricle in the same manner, then this will be described as left hand topology(L-looped ventricle). Ventricular topology allows analysis of the atrioventricular junction in hearts with isomeric arrangement of atrial appendages
  11. 11. UNIVENTRICULAR HEART
  12. 12. VENTRICULOARTERIAL COMMUNICATION
  13. 13. GREAT ARTERIES TO EACH OTHER
  14. 14. INFUNDIBULUM TO GREAT ARTERIES
  15. 15. External Link http://www.ncbi.nlm.nih.gov/pubmed/20300266 http://www.wikiecho.org/wiki/File:Segmental_Analysis2.JPG
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