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Biomedical subjects

C M Ligtvoet

Publications and source records attributed to C M Ligtvoet.

9 recordsLinked to original sources

Real-time compound scanning for echoencephalography.

A new ultrasonic scanning method is introduced for examination of the infant brain as for instance in cases of intracerebral haemorrhages or hydrocephalus. The examinations are carried out with an electronic phased array compound scanner with dynamic focussing. Tomograms of the cranium are obtained in three dimensions. With dynamic focussing arbitrarily chosen brain structures can be shown in more detail. The examinations can be carried out at the bed-side or even in an incubator.

Brain

Intraoperative epicardial two-dimensional echocardiography.

The usefulness of intraoperative epicardial two-dimensional (2D) echocardiography using a commercially available 5 MHz mechanical sector scanner was evaluated in 200 patients. The scanhead was inserted into a gas sterilized plastic bag and placed on the exposed heart. Unsuspected new diagnoses were made in 7 patients. In 68 patients additional morphologic information was obtained. This information influenced surgical management in 32 patients. Intraoperative echocardiographic analysis of the surgical correction revealed the expected results in 184 patients. In 16 patients the investigation provided important information in the decision of immediate reoperation. We conclude that epicardial two-dimensional echocardiography performed by the surgeon familiar with the interpretation of echocardiographic cross-sections yields important information for surgical management. The technique has become an important adjunct in our cardiac surgery department for immediate decision making and leads to optimal results.

Adolescent

Variability in the time interval between tricuspid and mitral valve closure in Ebstein's anomaly.

The time interval between mitral and tricuspid valve closure was measured from M-mode echocardiograms in patients with Ebstein's anomaly. It was found that this time interval demonstrated a range of values within each patient. The use of different transducer positions on the chest wall was found to be the predominant factor. There was no correlation between the measured time interval, its variability, and the moment of measurement during breathing. However, a period of breathholding significantly reduced the variability. This study indicates that a wide range of time intervals might be measured in a single patient. We conclude therefore, that this parameter should be used with great care in the diagnosis of Ebstein's anomaly.

Ebstein Anomaly

The role of echocardiography in assessing the functional class of the patient with Ebstein's anomaly.

In 23 patients with Ebstein's anomaly of the tricuspid valve, the functional class of the patients has been related to the echocardiographic parameters generally used to diagnose this disorder. These are the extent of apical displacement of the tricuspid valve and the delay in tricuspid valve closure time related to that of the mitral valve. In addition, the functional class of the patients has also been evaluated in relation to the severity of tricuspid valve insufficiency and to the presence or absence of associated cardiac abnormalities. The study revealed that the echocardiographic parameters i.e. the degree of apical displacement of the tricuspid valve and the delayed closure time of the tricuspid valve have no predictive value for the patient's clinical condition. On the other hand, both tricuspid valve insufficiency and the presence of additional anomalies have a direct correlation with the well-being of the patient.

Adolescent

Two-dimensional echocardiography in atrioventricular canal malformation: a diagnostic approach.

Two-dimensional echocardiographic studies were performed in 20 children with various forms of atrio-ventricular canal malformation. Both sagittal and transverse cross-sections were evaluated. The most typical finding in all patients was the visualization of the cleft anterior mitral leaflet (AML) represented by a diastolic break of AML echoes in the sagittal cross-section. - In cases where the AML is attached to the interventricular septum, varying degrees of left ventricular outflow tract narrowing and elongation were observed. In the transverse cross-section mitral-tricuspid alignment could be observed at the level of the aortic root. The ventricular septal defect in complete AVC was visualized as an echo-free space between the common anterior leaflet and the interventricular septum.

Adolescent

Bidimensional real-time echocardiological visualization of a ventricular right-to-left shunt following peripheral vein injection.

Contrast techniques were used in the echocardiological evaluation of a 28-yr-old patient with congenital cyanotic heart disease; catheterization showed an association of an atrial septum defect, a ventricular septum defect, and a patent ductus arteriosus, with equalization of pulmonary artery and systemic pressures. Glucose 5% in water, injected as a 10-ml bolus into an antecubital vein, constituted an adequate echogenic contrast solution. The heart was examined with both a single-crystal transducer (echoes recorded in M mode) and with a 51-elements dynamically focuses multiscan system (echoes recorded on video-tape). Contrast echocardiology showed that right-to-left shunting occurred at the level of the ventricular septum defect and was not significant at the atrial level.

Adult

Combined one- and two-dimensional ultrasound system for monitoring fetal breathing movements.

A combined one- and two-dimensional ultrasonic system for monitoring respiratory movements in the human fetus has been developed. A real-time cross-sectional image of the fetal chest at the level of the fetal heart can be obtained, and a time motion recording of fetal respiratory movements can then be written on a strip-chart recorder. Combining the features of one-dimensional and two-dimensional systems produces an accurate means of investigating fetal breathing movements.

Electronics, Medical