Document Detail

Coarctation repair without cardiac catheterization in infants.
MedLine Citation:
PMID:  3687697     Owner:  NLM     Status:  MEDLINE    
Of 35 infants who underwent an operation for coarctation of the aorta, 15 did not undergo cardiac catheterization before surgery. The diagnoses in all uncatheterized patients were made by clinical examination, chest radiography, ECG, and two-dimensional echocardiography combined with pulsed Doppler echocardiography. Associated anomalies diagnosed by two-dimensional/Doppler echocardiography included a patent ductus arteriosus in all patients, bicuspid aortic valve in six, small ventricular septal defect in four, and complete common atrioventricular canal in one. In no instance was the diagnosis of coarctation in error. In addition, the clinical significance of the ventricular septal defect was judged correctly by two-dimensional echocardiography, and no patient required an early reoperation because of significant left-to-right shunt. Two significant lesions were missed in one patient each: mitral stenosis and aortic stenosis. These diagnoses were missed in patients who were first seen with either profound congestive heart failure or shock. Coarctation of the aorta and associated lesions can be diagnosed accurately by two-dimensional echocardiography. This permits proper patient management without the added risk of cardiac catheterization. Although mitral and aortic lesions may be missed because of low cardiac output, this does not result in management errors.
B George; T G DiSessa; R Williams; W F Friedman; H Laks
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  114     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-12     Completed Date:  1988-01-12     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1421-5     Citation Subset:  AIM; IM    
Department of Pediatrics and Surgery, University of California School of Medicine.
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MeSH Terms
Aortic Coarctation / diagnosis,  radiography,  surgery*
Ductus Arteriosus, Patent / diagnosis
Echocardiography / methods
Heart Defects, Congenital / diagnosis*

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