Hirose O, Takeuchi M, Kijima Y, Ono Y, Yamada O, Arakaki Y, Ryujin Y, Kajino Y, Kamiya T, Kozuka T
J Cardiogr. 1981 Jun;11(2):629-47.
Two-dimensional echocardiographic studies were performed in 23 patients with coarctation of the aorta, 5 with interruption of the aortic arch, 6 with supravalvular aortic stenosis, 3 with truncus arteriosus, 2 with anomalous origin of the right pulmonary artery from the ascending aorta and 2 with aorto-pulmonary septal defect. The diagnosis was confirmed in each patient by surgery and/or cardiac catheterization and angiography. Visualization of the junction of isthmus and the descending aorta was possible in 18 of 23 patients with coarctation by two-dimensional echocardiography. In 13 patients correct diagnosis was obtained prospectively and in 2 patients coarctation was detected retrospectively. In only one of the 5 patients with interruption correct diagnosis was obtained and in 3 patients it was difficult to differentiate interruption from coarctation. In 5 of the 6 patients with supravalvular aortic stenosis, visualization of the area of obstruction was possible to two-dimensional echocardiography. In 2 of the 3 patients with truncus arteriosus, in whom none of the 2 had anomalous origin the right pulmonary artery from the ascending aorta and one of the 2 had aorto-pulmonary septal defect, correct diagnosis was obtained prospectively by two-dimensional echocardiography. Two-dimensional echocardiography may offer a useful noninvasive method for the direct visualization of aortic obstructive lesions and aortic malformations.
对23例主动脉缩窄、5例主动脉弓中断、6例主动脉瓣上狭窄、3例永存动脉干、2例右肺动脉起源于升主动脉异常及2例主 - 肺动脉间隔缺损患者进行了二维超声心动图研究。每位患者均通过手术和/或心导管检查及血管造影确诊。二维超声心动图可在23例主动脉缩窄患者中的18例显示峡部与降主动脉的连接。13例患者前瞻性地获得了正确诊断，2例患者缩窄为回顾性发现。5例主动脉弓中断患者中仅1例获得正确诊断，3例患者难以区分主动脉弓中断与主动脉缩窄。6例主动脉瓣上狭窄患者中的5例，二维超声心动图可显示梗阻区域。3例永存动脉干患者中的2例（2例均无右肺动脉起源于升主动脉异常，2例中有1例有主 - 肺动脉间隔缺损），二维超声心动图前瞻性地获得了正确诊断。二维超声心动图可能为直接显示主动脉梗阻性病变和主动脉畸形提供一种有用的非侵入性方法。
