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Neonatal postductal coarctation of the aorta—Doppler characteristics of aortic and ductal blood flow

Published online by Cambridge University Press:  19 August 2008

Seamus Cullen*
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospital, London
Michael Champion
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospital, London
Andrew Redington
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospital, London
*
Correspondence to Dr. Seamus Cullen, Department of Paediatric Cardiology, Royal Brompton National Heart and Lung Hospital, Sydney Street, London, United Kingdom.

Abstract

Doppler echocardiography revealed a characteristic pattern of flow in four neonates with postductal coarctation of the aorta. There was a continuous left-to-right shunt at the level of the patent arterial duct with simultaneous measurement of a large gradient across the site of coarctation with a pandiastolic gradient and prolonged pressure half-time. Infusions of prostaglandin produced no hemodynamic improvement, and urgent surgical correction was performed.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1993

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References

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