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Two-dimensional and Doppler echocardiographic assessment of variably shaped ductus arteriosus by the parasternal approach

Pediatric Cardiology volume 12, pages 6–12 (1991)Cite this article

Summary

Parasternal two-dimensional and Doppler echocardiography were compared with angiographic, surgical, and postmortem data in 213 patients with various forms of congenital heart disease for its accuracy in determining patency and anatomy of the ductus arteriosus (DA). The age range of the examined patients was from 1 day to 4 years (mean, 7.4 months). Echocardiography was always performed before any invasive procedure. An adequate window for imaging the DA was obtained by parasternal, two-dimensional echocardiography in 209 patients (98%). A persistent ductus arteriosus (PDA) was detected by invasive methods in 79 of 209 patients (38%), and by two-dimensional and Doppler echocardiography in 76 (sensitivity, 96%; specificity, 100%). The echocardiographic and angiographic findings agreed closely as to the duct's morphology. Our technique permits an accurate visualization of the duct in neonates, infants, and small children with various forms of congenital heart disease.

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References

  1. Cloez JL, Isaaz K, Pernot C (1986) Pulsed Doppler flow characteristics of the ductus arteriosus in infants with associated congenital anomalies of the heart or great arteries.Am J Cardiol 57:845–851

    Article  PubMed  Google Scholar 

  2. George L, Waldman D, Kirpatrick SE, Turner SW, Pappelbaum SJ (1982) Two-dimensional echocardiographic visualization of the aortic arch by right parasternal scanning in neonates and infants.Pediatric Cardiol 2:277–280

    Google Scholar 

  3. Hiraishi S, Horiguchi Y, Misawa H, Oguchi K, Kadoi N, Fujino N, Yashiro K (1987) Noninvasive Doppler echocardiographic evaluation of shunt flow dynamics of the ductus arteriosus.Circulation 75:1146–1153

    PubMed  Google Scholar 

  4. Huhta JC (1986)Pediatric imaging/Doppler ultrasound of the chest: Extracardiac diagnosis, ductus arteriosus. Lea & Febiger, Philadelphia, pp 97–123

    Google Scholar 

  5. Huhta JC, Cohen M, Gutgesell HP (1984) Patency of the ductus arteriosus in normal neonates: Two-dimensional echocardiography versus Doppler assessment.J Am Coll Cardiol 4:561–564

    PubMed  Google Scholar 

  6. Huhta JC, Gutgesell HP, Latson LA, Huffines FD (1984) Two-dimensional echocardiographic assessment of the aorta in infants and children with congenital heart disease.Circulation 70:417–424

    PubMed  Google Scholar 

  7. Kutsche LM, Van Mierop LHS (1983) Pulmonary atresia with and without ventricular septal defect: A different etiology and pathogenesis for the atresia in the 2 types.Am J Cardiol 51:932–935

    PubMed  Google Scholar 

  8. Musewe NN, Smallhorn JF, Benson LN, Burrows PE, Freedom RM (1987) Validation of Doppler-derived pulmonary arterial pressure in patients with ductus arteriosus under different hemodynamic states.Circulation, 76:1081–1091

    PubMed  Google Scholar 

  9. Rudolph AM, Heymann MA, Spitznas U (1972) Hemodynamic considerations in the development of narrowing of the aorta.Am J Cardiol 30:514–525

    Article  PubMed  Google Scholar 

  10. Shan DJ, Allen HD (1978) Real time cross-sectional echocardiographic imaging and measurement of the patent ductus arteriosus in infants and children.Circulation 58:343–354

    PubMed  Google Scholar 

  11. Santos MA, Moll JN, Drumond C, Araujo WB, Ramao N, Reis NB (1980) Development of the ductus arteriosus in right ventricular outflow tract obstruction.Circulation 62:818–822

    PubMed  Google Scholar 

  12. Smallhorn JF, Gow R, Olley PM, Freedom RM, Swyer PR, Perlman M, Rowe RD (1984) Combined noninvasive assessment of the patent ductus arteriosus in the preterm infants before and after indomethacin treatment.Am J Cardiol 54:1300–1304

    PubMed  Google Scholar 

  13. Smallhorn JF, Huhta JC, Anderson RH, Macartney FJ (1982) Suprasternal cross-sectional echocardiography in assessment of patent ductus arteriosus.Br Heart J 48:321–330

    PubMed  Google Scholar 

  14. Snider AR, Silverman NH (1981) Suprasternal notch echocardiography: A two-dimensional technique for evaluating congenital heart disease.Circulation 63:165–173

    PubMed  Google Scholar 

  15. Swensson RE, Valdes-Cruz LM, Sahn DJ, Sherman FS, Chung KJ, Scagnelli S, Hagen-Ansert S (1986) Real-time Doppler color flow mapping for detection of patent ductus arteriosus.J Am Coll Cardiol 8:1105–1112

    PubMed  Google Scholar 

  16. Vick GW III, Huhta JC, Gutgesell HP (1985) Assessment of ductus arteriosus in preterm infants utilising two-dimensional Doppler echocardiography.J Am Coll Cardiol 5:973–977

    PubMed  Google Scholar 

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Affiliations

  1. Department of Pediatrics, Kitasato University School of Medicine, 1-15-1, Kitasato, 228, Sagamihara, Kanagawa, Japan

    Satoshi Hiraishi, Yasunori Horiguchi, Nobuyuki Fujino, Youtaro Agata, Harumi Kawai, Masahiro Ohe & Kimio Yashiro

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  1. Satoshi Hiraishi
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  2. Yasunori Horiguchi
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  3. Nobuyuki Fujino
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  4. Youtaro Agata
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  5. Harumi Kawai
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  6. Masahiro Ohe
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  7. Kimio Yashiro
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Hiraishi, S., Horiguchi, Y., Fujino, N. et al. Two-dimensional and Doppler echocardiographic assessment of variably shaped ductus arteriosus by the parasternal approach. Pediatr Cardiol 12, 6–12 (1991). https://doi.org/10.1007/BF02238490

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  • DOI: https://doi.org/10.1007/BF02238490

Key Words

  • Doppler echocardiography
  • Parasternal approach
  • Ductus arteriosus