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Use of echocardiographic subxiphoid five-sixth area length (bullet) method in evaluation of adequacy of borderline left ventricle in hypoplastic left heart complex


Division of Pediatric Cardiology, New York University School of Medicine, New York, USA

Correspondence Address:
Puneet Bhatla
160 East 32nd Street, 2nd Floor, New York - 10016
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.158520

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Year : 2015  |  Volume : 8  |  Issue : 3  |  Page : 243-245

 

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Indexed left ventricular end-diastolic volume (ILVEDV) is commonly used in evaluating "borderline left ventricle (LV)" in hypoplastic left heart complex (HLHC) to determine if the LV can sustain adequate systemic cardiac output. Commonly used quantification methods include biplane Simpson or the traditional five-sixth area length "bullet" methods, which have been shown to underestimate true LV volumes, when septal position is mildly abnormal. Subxiphoid five-sixth area length method is proposed as a more accurate estimate of true LV volume in the evaluation of borderline LV.






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Division of Pediatric Cardiology, New York University School of Medicine, New York, USA

Correspondence Address:
Puneet Bhatla
160 East 32nd Street, 2nd Floor, New York - 10016
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2069.158520

Rights and Permissions

Indexed left ventricular end-diastolic volume (ILVEDV) is commonly used in evaluating "borderline left ventricle (LV)" in hypoplastic left heart complex (HLHC) to determine if the LV can sustain adequate systemic cardiac output. Commonly used quantification methods include biplane Simpson or the traditional five-sixth area length "bullet" methods, which have been shown to underestimate true LV volumes, when septal position is mildly abnormal. Subxiphoid five-sixth area length method is proposed as a more accurate estimate of true LV volume in the evaluation of borderline LV.






[FULL TEXT] [PDF]*


        
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