Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2024-12-24T13:18:13.099Z Has data issue: false hasContentIssue false
  • English
  • Français

Normal values for cardiac and great arterial dimensions in premature infants by cross-sectional echocardiography

Published online by Cambridge University Press:  19 August 2008

Toshiro Imai ,
Gengi Satomi ,
Satoshi Yasukochi ,
Yorikazu Harada ,
Takamasa Takeuchi ,
Hirohisa Gotoh  and
Takahiko Sakamoto
Toshiro Imai*
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Gengi Satomi
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Satoshi Yasukochi
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Yorikazu Harada
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Takamasa Takeuchi
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Hirohisa Gotoh
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
Takahiko Sakamoto
Affiliation:
From the Divisions of Pediatric Cardiology and Cardiovascular Surgery, Nagano Children's Hospital, Nagano
*
Dr. Toshiro Imai, Division of Pediatric Cardiology, Nagano Children's Hospital, 3100 Toyoshina, Nagano, 399-82, Japan. Tel. 81-263-73-6700; Fax. 81-263-73-5432.
Get access Rights & Permissions [Opens in a new window]

Abstract

The number of neonates who undergo intracardiac repair for congenital heart disease has increased in recent years. In considering appropriate surgical options in such circumstances, normal values for various cardiovascular dimensions are needed. We measured 19 parameters for the heart and great arteries (four valves, pulmonary tree, aortic arch, ascending and descending aorta, ventricular septum, left ventricular internal and posterior wall dimensions) using cross-sectional echocardiography in 55 premature and full-term infants (ranging in gestational age from 23 to 41 weeks, in body weight from 543 to 3966 g). The increase in each dimension correlated closely with body weight (r=0.62 to 0.87) and was found to follow a linear regression. The diameter of the isthmus was found to be smaller, and the size of mitral valve annulus larger, than previously published values.

Keywords

Infantprematurityheartaortapulmonary trunkreference valuesechocardiography
Type
Original Manuscripts
Information
Cardiology in the Young , Volume 5 , Issue 4 , October 1995 , pp. 319 - 325
Copyright
Copyright © Cambridge University Press 1995

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Winsberg, F. Echocardiography of the fetal and newborn heart. Invest Radiol 1972; 7: 152–158.Google Scholar
2. Hagan, AD, Deely, WJ, Sahn, D, Friedman, WF. Echocardio-graphic criteria for normal newborn infants. Circulation 1973; 48: 1221–1226.CrossRefGoogle Scholar
3. Lange, L, Fabecic-Sabadi, V, Bein, G. Echokardiographishe Normalwerte bei Früh- und Neugeborenen. Z Kardiol 1978; 67: 534–539.Google Scholar
4. Walther, FJ, Siassi, B, King, J, Wu, PYK. Normal values of aortic root measurements in neonates. Pediatr Cardiol 1985; 6: 61–64.CrossRefGoogle ScholarPubMed
5. Lee, LA, Kimball, TR, Daniels, SR, Khoury, P, Meyer, RA. Left ventricular mechanics in the preterm infant and their effect on the measurement of cardiac performance. J Pediatr 1992; 120: 114–119.Google Scholar
6. Sahn, DJ, Lange, LW, Allen, HD, Goldberg, SJ, Anderson, C, Giles, H, Haber, K. Quantitative real-time cross-sectional echocardiography in the developing normal human fetus and newborn. Circulation 1980; 62: 588–597.CrossRefGoogle ScholarPubMed
7. Angelini, A, Allan, LD, Anderson, RH, Crawford, DC, Chita, SK, Yen Ho, S. Measurements of the dimensions of the aortic and pulmonary pathways in the human fetus: A correlative echocardiographic and morphometric study. Br Heart J 1988; 60: 221–226.CrossRefGoogle ScholarPubMed
8. Allan, LD. Manual of fetal echocardiography. MTP Press Limited, Lancaster, 1986, pp 48–73.Google Scholar
9. Lubchenco, LO, Hansman, C, Dressler, M, Boyd, Edith. Intra-uterine growth as estimated from liveborn birth-weight data at 24 to 42 weeks of gestation. Pediatrics 1963; 32: 793–800.CrossRefGoogle Scholar
10. Hornberger, LK, Weintraub, RG, Pesonen, E, Murillo-Olivas, A, Simpson, IA, Sahn, C, Hagen-Ansert, S, Sahn, DJ. Echocardiographic study of the morphology and growth of the aortic arch in the human fetus: Observations related to the prenatal diagnosis of coarctation. Circulation 1992; 86: 741–747.CrossRefGoogle Scholar
11. Rudolph, AM. Distribution and regulation of blood flow in the fetal and neonatal lamb. Circ Res 1985; 57: 811–821.CrossRefGoogle ScholarPubMed