Hepatic stiffness in the bidirectional cavopulmonary circulation: The Liver Adult- Pediatric-Congenital-Heart-Disease Dysfunction Study group Shaija S.

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Presentation transcript:

Hepatic stiffness in the bidirectional cavopulmonary circulation: The Liver Adult- Pediatric-Congenital-Heart-Disease Dysfunction Study group Shaija S. Kutty, MD, Ming Zhang, MD, PhD, David A. Danford, MD, Rimsha Hasan, MD, Kim F. Duncan, MD, John D. Kugler, MD, Ruben E. Quiros-Tejeira, MD, Shelby Kutty, MD The Journal of Thoracic and Cardiovascular Surgery Volume 151, Issue 3, Pages 678-684 (March 2016) DOI: 10.1016/j.jtcvs.2015.09.079 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Shear wave elastogram and vascular Doppler indices are shown. Elastogram maps show hepatic stiffness measurements by SWE in (A) a subject who had BCPC, and (B) a healthy subject. Hepatic ultrasound Doppler measurements are shown for (C) the main portal vein; (D) the celiac artery; and (E) the superior mesenteric artery. Min, Minimum; Max, maximum; Diam, diameter; SWE, shear wave elastography; BCPC, bidirectional cavopulmonary connection; PSV, peak systolic velocity; EDV, end-diastolic velocity; RI, resistive index; PI, pulsatility index; AT, acceleration time; TAPV, time average peak velocity; TAMV, time average mean velocity; AI, acceleration index; PG, peak gradient; VTI, velocity-time integral; HR, heart rate; VFlow, flow volume. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 678-684DOI: (10.1016/j.jtcvs.2015.09.079) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Top row shows correlations of MPV diameter, MPV flow, and CA VTI with BSA in patients and healthy subjects. Bottom row shows correlations of hepatic stiffness with MPV resistance and PIs, and with RA pressure in patients. MPV, Main portal vein; Dia, diameter; BSA, body surface area; CA, celiac artery; VTI, velocity-time integral; RA, right atrial; RI, resistive index; PI, pulsatility index. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 678-684DOI: (10.1016/j.jtcvs.2015.09.079) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Hepatic elastography and Doppler in BCPC. The Journal of Thoracic and Cardiovascular Surgery 2016 151, 678-684DOI: (10.1016/j.jtcvs.2015.09.079) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions