Circulation, Vol 56, 762-769, Copyright © 1977 by American Heart Association
DJ Sahn, HD Allen, G McDonald and SJ Goldberg
Real-time cross-sectional echocardiographic sector scan examinations were
performed from a suprasternal notch location to image aortic anatomy in 15
children (ages 1 day to 21 years) who were subsequently shown at cardiac
catheterization to have coarctation of the descending thoracic aorta. The
resulting echocardiographic images of the ascending, transverse and
descending aorta imaged juxtaductal coarctation in all 15 patients.
Echocardiography predicted discrete coarctation of the aorta in eight,
isthmic hypoplasia in two, hourglass type coarctation deformities in three
and longer segment coarctation in four patients. Catheterization and
angiography confirmed all of these anatomic observations. The control
group, 100 patients with congenital heart disease but without angiographic
coarctations, included four patients with right-sided aortic arch and six
patients with dextrocardia. The ascending, transverse and descending aorta
were adequately imaged in 94 of these and no descending aortic
abnormalities were noted. This study shows the potential utility of
cross-sectional echocardiography for the noninvasive precatheterization or
preoperative assessment of coarctation of the aorta in children and
critically ill newborns.
ARTICLES
Real-time cross-sectional echocardiographic diagnosis of coarctation of the aorta: a prospective study of echocardiographic-angiographic correlations
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