Female 2 years old Reason: Extent of LPA stenosis History: LPA stenosis and hypoplasia by echo Examination is somehow limited due to motion artifact.Left VentricleNormal left ventricle with no evidence of hypertrophy or septal defects.Left AtriumThe left atrium is normal. Right VentricleNormal right ventricle with no evidence of ventricular dilatation, hypertrophy or septal defect. Right AtriumThe right atrium is normal. Aortic ValveDedicated through plane imaging was not performed.Mitral ValveThe mitral valve opens widely and there is no significant mitral regurgitation visualized. Dedicated through plane imaging was not performed.Pulmonic ValveThe pulmonic valve opens widely. There is no significant pulmonic regurgitation visualized. Dedicated through plane imaging was not performed.Tricuspid ValveThe tricuspid valve opens widely. There is no significant tricuspid regurgitation visualized. Dedicated through plane imaging was not performed.AortaThe ascending thoracic aorta is normal in size. There is a left sided aortic arch.Pulmonary ArteryThe main pulmonary artery is normal in size. The main pulmonary artery is 12.6 mm in diameter. The right pulmonary artery is 7.1 mm in diameter. The left pulmonary artery is 7.1 mm in diameter as well with no definite evidence of stenosis. Qualitative flow distribution through both lungs is symmetric.Right pulmonary artery flow quantitation values are as follows:Stroke volume in ml: 8Forward flow volume in ml: 8.2Backward flow volume in ml: 0.2Regurgitant factor in %: 1.9Left pulmonary artery flow quantitation values are as follows:Stroke volume in ml: 5.3Forward flow volume in ml: 5.3Backward flow volume in ml: 0Regurgitant factor in %: 0LPA flow velocity is 26.1 cm/s. RPA flow velocity is 26.5 cm/s.Venous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial thickening or effusion.
1. Within the limitations described above, no definitive findings to confirm the suspicion of left pulmonary artery stenosis.2. No significant difference in the flow volume in between right and left pulmonary arteries.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.