Female 13 years old Reason: TOF s/p valve sparing repair, RV dilation and elevated RVP, moderate valvar pulmonary stenosis, history of LPA stenosis. Left VentricleThe left ventricle is normal. The overall LV ejection fraction is 63.3%, the LV end diastolic volume index is 70.4 ml/m2 (normal range: 65+/-11), the LVEDV is 97.18 ml (normal range 109+/-23), the LV end systolic volume index is 25.8 ml/m2 (normal range 18+/-5), the LVESV is 35.69 ml (normal range 31+/-10), the LV mass index is 40.5 g/m2, and the LV mass is 56 g. There are no regional wall motion abnormalities present. There is no intracardiac thrombus.Left AtriumThe left atrium is normal. Right VentricleThe right ventricle is mildly enlarged . The overall RV ejection fraction is 34.1%, the RV end diastolic volume index is 100 ml/m2 (normal range 69+/-14), the RVEDV is 138.2 ml (normal range 110+/-24), the RV end systolic volume index is 70 ml/m2 (normal range 22+/-8), and the RVESV is 91.13 ml (normal range 35+/-13). Right AtriumThe right atrium is mildly enlarged. Aortic ValveThe aortic valve opens widely and there is no significant aortic regurgitation visualized. Dedicated 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 moderate 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. The aortic annulus is 14 mm, the sinus of Valsalva measures 18 mm. Ascending aorta is 25 mm. Aortic arch is 17 mm. The descending aorta is 11 mm at the thoracic level and 10 mm at the diaphragmatic level.Pulmonary ArteryThe main pulmonary artery is 15 mm in diameter, the right pulmonary artery is 10 mm in diameter and the left pulmonary artery is 7 mm in diameter with a proximal narrowing of 5 mm. PULMONARY ARTERIES FLOW QUANTITATION:Main pulmonary arteries flow quantitation values are as follows:Stroke volume in ml: 48.7Forward flow volume in ml: 57.2Backward flow volume in ml: 8.5Regurgitant factor in %: 14.8Right pulmonary artery flow quantitation values are as follows:Stroke volume in ml: N/AForward flow volume in ml: N/ABackward flow volume in ml: N/ARegurgitant factor in %: N/ALeft pulmonary artery flow quantitation values are as follows:Stroke volume in ml: N/AForward flow volume in ml: N/ABackward flow volume in ml: N/ARegurgitant factor in %: N/AVenous AnatomyThe SVC and IVC are normal in size and drain normally into the right atrium. PericardiumThere is no pericardial thickening or effusion.Extracardiac FindingsPost surgical changes of the sternum is noted. Partial view of the solid organs of the upper abdomen is normal..
1. Right atrium and ventricle enlargement.2. Mild hypoplasia/stenosis of the left pulmonary artery.3. Pulmonary and tricuspid valve regurgitation.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings.