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Echocardiographic Examination of the Aortic Arch: Anomalies Presenting in the Neonatal Period
Author(s) -
HUMES RICHARD A.,
FAROOKI ZIA Q.
Publication year - 1991
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1991.tb01009.x
Subject(s) - aortic arch , medicine , parasternal line , arch , aorta , anatomy , double aortic arch , cardiology , radiology , civil engineering , engineering
Congenital anomalies of the aortic arch that present in the first 30 days of life include clinically significant lesions such as coarctation of the aorta and interruption of the aortic arch. Other anomalies of aortic arch position may present as part of a larger congenital complex. Knowledge of the embryology and anatomy of these structures is essential to the understanding of this class of defects. A systematic and careful two‐dimensional echocardiographic examination of the arch structures from suprasternal and high parasternal views should reveal the anatomy. A careful Doppler examination using pulsed‐ and continuous‐wave Doppler, as well as color flow imaging, is used to delineate the presence and severity of obstructive lesions. This review discusses the anatomy and echocardiographic techniques that may be used to demonstrate this group of lesions. Noninvasive echocardiographic examination of the aortic arch complex in the neonate should be sufficient to make the diagnosis of most aortic arch anomalies. (ECHOCARDIOGRAPHY, Volume 8, July 1991)