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Background Patients after atrioventricular septal defect (AVSD) repair have aberrant atrioventricular valve morphology resulting in a disorganized left ventricular (LV) inflow [1] with an increased amount of inflow reaching the apical level of the LV and retaining there during the subsequent systole [1]. This may elevate energy loss in LV flow due to friction. We aimed to evaluate the association between the percentages (retained) apical inflow with viscous energy loss during diastole in AVSD-repaired patients compared to healthy controls using 4D flow MRI.

journal of cardiovascular magnetic resonance

Apical inflow is associated with increased energy loss during left ventricular diastole in patients with a repaired atrioventricular septal defect: a 4D flow MRI study