Tricuspid atresia differential diagnosis
Tricuspid atresia Microchapters |
Diagnosis |
---|
Treatment |
Special Scenarios |
Case Studies |
Tricuspid atresia differential diagnosis On the Web |
American Roentgen Ray Society Images of Tricuspid atresia differential diagnosis |
Risk calculators and risk factors for Tricuspid atresia differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Keri Shafer, M.D. [2] Priyamvada Singh, MBBS [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Differentiating Tricuspid Atresia from other Diseases
Patients with tricuspid atresia should be differentiated from other cardiac and non-cardiac causes of cyanosis.
Cardiac causes (starts with 't'):
- Tetralogy of Fallot
- Truncus arteriosus
- Total anomalous pulmonary venous connection
- Other tricuspid valve abnormalities like tricuspid regurgitaton, tricuspid stenosis
Other less common causes are- pulmonary atresia, hypoplastic left heart syndrome, anomalous systemic venous connection.
Non-cardiac causes:
- Pulmonary diseases - Structural abnormalities of the lung, V/P (ventilation-perfusion mismatch), airway obstruction, pneumothorax, and hypoventilation.
- Abnormal hemoglobin like methemoglobin, polycythemia
- Peripheral cyanosis for e.g. sepsis, hypoglycemia, dehydration, and hypoadrenalism.
Table below compares cyanotic heart diseases:
Disorders | Etiology | Clinical Presentation | Laboratory Findings | Electrocardiogram Findings | Echocardiography Findings | X-Ray Findings |
---|---|---|---|---|---|---|
Tetralogy of Fallot [1][2] | Multifactorial
|
|
|
|
Echocardiography may show: |
|
Total Anomalous Pulmonary Venous Connection [3][4][5] | Multifactorial
|
|
|
|
||
Tricuspid Atresia [6][7] | Multifactorial
|
|
|
|
Echocardiography may show
|
|
Transposition of the Great Arteries [8][9] |
Multifactorial
|
|
|
|
Echocardiography may show:
|
|
References
- ↑ Morris, Douglas C.; Felner, Joel M.; Schlant, Robert C.; Franch, Robert H. (1975). "Echocardiographic diagnosis of tetralogy of Fallot". The American Journal of Cardiology. 36 (7): 908–913. doi:10.1016/0002-9149(75)90081-8. ISSN 0002-9149.
- ↑ Kothari SS (October 1992). "Mechanism of cyanotic spells in tetralogy of Fallot--the missing link?". Int. J. Cardiol. 37 (1): 1–5. doi:10.1016/0167-5273(92)90125-m. PMID 1428277.
- ↑ Zhang, Ziming; Zhang, Li; Xie, Feng; Wang, Bing; Sun, Zhengxing; Kong, Shuangshuang; Wang, Xinfang; Dong, Nianguo; Wang, Guohua; Lv, Qing; Li, Yuman; Li, Ling; Xie, Mingxing (2016). "Echocardiographic diagnosis of anomalous pulmonary venous connections". Medicine. 95 (44): e5389. doi:10.1097/MD.0000000000005389. ISSN 0025-7974.
- ↑ Chen JT (October 1979). "Radiologic demonstration of anomalous pulmonary venous connection and its clinical significance". CRC Crit Rev Diagn Imaging. 11 (4): 383–422. PMID 389559.
- ↑ Gathman, Gary E.; Nadas, Alexander S. (1970). "Total Anomalous Pulmonary Venous Connection". Circulation. 42 (1): 143–154. doi:10.1161/01.CIR.42.1.143. ISSN 0009-7322.
- ↑ Beppu, S; Nimura, Y; Tamai, M; Nagata, S; Matsuo, H; Kawashima, Y; Kozuka, T; Sakakibara, H (1978). "Two-dimensional echocardiography in diagnosing tricuspid atresia. Differentiation from other hypoplastic right heart syndromes and common atrioventricular canal". Heart. 40 (10): 1174–1183. doi:10.1136/hrt.40.10.1174. ISSN 1355-6037.
- ↑ Thiene G, Anderson RH (1981). "The clinical morphology of tricuspid atresia. Atresia of the right atrioventricular valve". G Ital Cardiol. 11 (12): 1845–59. PMID 7049815.
- ↑ Mahle, William T.; Gonzalez, Javier H.; Kreeger, Joseph; Marx, Gerald; Duldani, Gul; Silverman, Norman H. (2013). "Echocardiography of transposition of the great arteries". Cardiology in the Young. 22 (6): 664–670. doi:10.1017/S1047951112001503. ISSN 1047-9511.
- ↑ Warnes, Carole A. (2006). "Transposition of the Great Arteries". Circulation. 114 (24): 2699–2709. doi:10.1161/CIRCULATIONAHA.105.592352. ISSN 0009-7322.