Hiraishi S, Horiguchi Y, Fujino N, Agata Y, Kawai H, Ohe M, Yashiro K
Department of Pediatrics, Kitasato University School of Medicine, Kanagawa, Japan.
Pediatr Cardiol. 1991 Jan;12(1):6-12. doi: 10.1007/BF02238490.
Parasternal two-dimensional and Doppler echocardiography were compared with angiographic, surgical, and postmortem data in 213 patients with various forms of congenital heart disease for its accuracy in determining patency and anatomy of the ductus arteriosus (DA). The age range of the examined patients was from 1 day to 4 years (mean, 7.4 months). Echocardiography was always performed before any invasive procedure. An adequate window for imaging the DA was obtained by parasternal, two-dimensional echocardiography in 209 patients (98%). A persistent ductus arteriosus (PDA) was detected by invasive methods in 79 of 209 patients (38%), and by two-dimensional and Doppler echocardiography in 76 (sensitivity, 96%; specificity, 100%). The echocardiographic and angiographic findings agreed closely as to the duct's morphology. Our technique permits an accurate visualization of the duct in neonates, infants, and small children with various forms of congenital heart disease.
在213例患有各种先天性心脏病的患者中，对胸骨旁二维和多普勒超声心动图与血管造影、手术及尸检数据进行了比较，以评估其在确定动脉导管（DA）通畅情况和解剖结构方面的准确性。受检患者的年龄范围为1天至4岁（平均7.4个月）。超声心动图检查均在任何侵入性操作之前进行。通过胸骨旁二维超声心动图，209例患者（98%）获得了用于DA成像的足够窗口。209例患者中，有79例（38%）通过侵入性方法检测到持续性动脉导管（PDA），76例通过二维和多普勒超声心动图检测到（敏感性96%；特异性100%）。在导管形态方面，超声心动图和血管造影结果高度一致。我们的技术能够准确显示患有各种先天性心脏病的新生儿、婴儿和幼儿的动脉导管。
