Analysis of diagnostic value of berry syndrome by Doppler echocardiography

WU Li-jun; ZHANG Yu-qi; SUN Kun; ZHANG Zhi-fang; CHEN Li-jun

Abstract：Objective To review the imaging characteristics of Berry syndrome and to evaluate the accuracy of the diag‐nosis by Doppler echocardiography ,so as to improve the initial echocardiographic diagnosis .Methods Doppler echocar‐diography was performed and these images were compared with operative or magnetic resonance imaging (MRI) findings in 21 children with Berry syndrome .Results The malformations of Berry syndrome consisted of the distal aortopulmonary septal defect (21 cases) ,aortic origin of the right pulmonary artery (21 cases) ,interruption of aortic arch (19 cases) ,co‐arctation of the aorta (2 cases) ,and intact ventricular septum (21 cases) .The most common associated malformations in‐cluded pulmanary hypertension (21 cases) ,patent ductus arteriosus (19 cases) ,atrial septal defect (9 cases) ,patent fora‐men ovale (4 cases) ,aortic valve stenosis (1 case) ,and mitral valve stenosis (1 case) .17 of 21 cases (81 .0% ) were diag‐nosed correctly .In the remaining 4 cases (19 .0% ) ,2 cases with aortic origin of the right pulmonary artery and 1 case with aortopulmonary septal defect and aortic origin of the right pulmonary artery were missed diagnosis ,1 case with type A of interruption of aortic arch was misdiagnosed as type B .Conclusion All containing malformations of Berry syndrome could be diagnosed accurately by Doppler echocardiography .