Salem M M, Starnes V A, Wells W J, Acherman R J, Chang R K, Luciani G B, Wong P C
Division of Pediatric Cardiology, Childrens Hospital Los Angeles, California, USA.
Am J Cardiol. 2000 Nov 1;86(9):1044-7, A11. doi: 10.1016/s0002-9149(00)01149-8.
This study looked at echocardiographic predictors of left ventricular outflow obstruction after primary neonatal repair of interrupted aortic arch and ventricular septal defect. Results of this study indicate that the only significant independent predictor of left ventricular outflow obstruction is aortic valve diameter; all patients with an aortic valve diameter <4.5 mm (Z score <-5) subsequently developed obstruction, whereas patients with annuli >4.5 mm (Z score >-5) remained free from obstruction.