Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-23T05:32:00.268Z Has data issue: false hasContentIssue false
  • English
  • Français

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 ,
Michael Champion  and
Andrew Redington
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.
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Aortic coarctationDoppler echocardiographyneonatearterial duct
Type
Brief Report
Information
Cardiology in the Young , Volume 3 , Issue 2 , April 1993 , pp. 164 - 165
Copyright
Copyright © Cambridge University Press 1993

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.Radford, DJ, Bloom, KR, Coceani, F, Fariello, R, Olley, PM. Prostaglandin E1 for interrupted aortic arch in the neonate. Lancet 1976; 2: 95.CrossRefGoogle ScholarPubMed
2.Carvalho, JS, Redington, AN, Shinebourne, EA, Rigby, ML, Gibson, D. Continuous wave Doppler echocardiography and coarctation of the aorta: gradients and flow patterns in the assessment of severity. Br Heart J 1990; 64: 133–137.CrossRefGoogle ScholarPubMed
3.Keith, JD. Prevalence, incidence and epidemiology. In: Keith, JD, Rowe, RD, Vlad, P (eds). Heart Disease in Infancy and Childhood, 3rd Edition. Macmillan, New York, 1978, pp 3–13.Google Scholar
4.Becker, AE, Becker, MJ, Edwards, JE. Anomalies associated with coarctation of the aorta. Particular reference to infancy. Circulation 1970; 51: 1067–1075.CrossRefGoogle Scholar
5.Ho, SY, Anderson, RH. Coarctation, tubular hypoplasia, and the ductus arteriosus. Histological study of 35 specimens. Br Heart J 1979:41:268–274.CrossRefGoogle ScholarPubMed