Echocardiographic Identification of Aorta and Main Pulmonary Artery in Complete Transposition

Overview

Journal Br Heart J

Specialty Cardiology & Vascular Diseases

Date 1978 Apr 1

PMID 646904

Citations 7

Authors

A B Houston

N L Gregory

E N Coleman

Affiliations

Soon will be listed here.

Abstract

No completely reliable echocardiographic technique has been described for the separate identification of the aorta and main pulmonary artery in complete transposition of the great arteries. A mechanical wide-angle (60 degrees) sector scanner has been applied to this problem in 17 infants and young children, including 8 newborns before angiocardiography. In all patients a longitudinal scan (saggital section) identified the main pulmonary artery by its directly posterior course immediately beyond the pulmonary valve, and the aorta by its retrosternal course upwards before turning posteriorly above the main pulmonary artery. In addition, a high transverse scan showed the precise spatial relation of the great arteries, and, in 11 of the 17, tilting the scanning plane upwards showed branching of the main pulmonary artery. In 8 infants examined with M-mode echocardiography, an upward sweep from the pulmonary valve showed abrupt termination of the echo from the posterior wall coinciding with the posterior arching of the main pulmonary artery.

Citing Articles

Anatomic-echocardiographic correlates: an introduction to normal and congenitally malformed hearts.

Ho S, McCarthy K, Josen M, Rigby M Heart. 2001; 86 Suppl 2:II3-11.

PMID: 11709529 PMC: 1766550. DOI: 10.1136/heart.86.suppl_2.ii3.

The use of cross-sectional echocardiography in a general hospital.

Brown A, Anderson V Postgrad Med J. 1980; 56(654):221-8.

PMID: 7433319 PMC: 2425885. DOI: 10.1136/pgmj.56.654.221.

Two-dimensional echocardiography in infants with persistent truncus arteriosus.

Houston A, Gregory N, Murtagh E, Coleman E Br Heart J. 1981; 46(5):492-7.

PMID: 7317216 PMC: 482684. DOI: 10.1136/hrt.46.5.492.

Identification of normal and transposed great arteries by contrast M-echocardiography in the newborn: a combined suprasternal and precordial approach.

Di Segni E, Klein H, Levi A, Libhaber C, Choc L, Kaplinsky E Pediatr Cardiol. 1982; 3(2):127-31.

PMID: 7155946 DOI: 10.1007/BF02312959.

Cross sectional echocardiographic diagnosis of congenital heart disease in infants.

Macartney F Br Heart J. 1983; 50(6):501-5.

PMID: 6651992 PMC: 481450. DOI: 10.1136/hrt.50.6.501.

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