Pulmonic regurgitation pulmonary angiography

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S [2], Aysha Anwar, M.B.B.S [3]

Overview

Pulmonary angiography may play a role among patients with TOF repair having pulmonary regurgitation.

In PR, opacification of the right ventricle is noticed following the injection of contrast into the pulmonary artery due to the regurgitant jet.
Pulmonary angiography may play a role to follow up patients who undergo repair for tetrology of Fallot to assess for pulmonary regurgitation (PR).^[1]
Coronary angiography: Unsuitable anatomy among 4.4% US cohort poses a risk of potential coronary artery compression during TPVI.^[2] CT/magnetic resonance angiography (coronary artery) can give an idea of the distance between the coronary artery and conduit. Selective coronary angiography with a non-compliant balloon inflated in the RVOT is recommended prior to attempted prior to Transcatheter Pulmonic Valve Implant (TPVI).^[3]

↑ Erdoğan I, Celiker A, Hazirolan T, Haliloğlu M, Karagöz T (2010). “Angiocardiography and magnetic resonance imaging to assess pulmonary regurgitation in repaired tetralogy of Fallot”. Anadolu Kardiyol Derg. 10 (4): 353–7. doi:10.5152/akd.2010.095. PMID 20693132.
↑ Batlivala SP, Emani S, Mayer JE, McElhinney DB (June 2012). “Pulmonary valve replacement function in adolescents: a comparison of bioprosthetic valves and homograft conduits”. Ann. Thorac. Surg. 93 (6): 2007–16. doi:10.1016/j.athoracsur.2012.02.039. PMID 22560964.
↑ Ghawi H, Kenny D, Hijazi ZM (December 2012). “Transcatheter pulmonary valve replacement”. Cardiol Ther. 1 (1): 5. doi:10.1007/s40119-012-0005-9. PMC 4107445. PMID 25135159.