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Usefulness of Transthoracic Echocardiography to Accurately Diagnose Recoarctation of the Aorta After the Norwood Procedure

Recoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who... Full description

Journal Title: The American Journal of Cardiology Jul 1, 2014, Vol.114(1), pp.117-21
Main Author: Wellen, Shari
Other Authors: Glatz, Andrew , Gillespie, Matthew , Ravishankar, Chitra , Cohen, Meryl
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 00029149 ; E-ISSN: 18791913 ; DOI: 10.1016/j.amjcard.2014.04.014
Link: http://search.proquest.com/docview/1534335703/?pq-origsite=primo
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title: Usefulness of Transthoracic Echocardiography to Accurately Diagnose Recoarctation of the Aorta After the Norwood Procedure
format: Article
creator:
  • Wellen, Shari
  • Glatz, Andrew
  • Gillespie, Matthew
  • Ravishankar, Chitra
  • Cohen, Meryl
subjects:
  • Aortic Coarctation–Surgery
  • Aortic Coarctation–Ultrasonography
  • Echocardiography–Ultrasonography
  • Female–Ultrasonography
  • Humans–Ultrasonography
  • Infant–Ultrasonography
  • Infant, Newborn–Ultrasonography
  • Male–Ultrasonography
  • Norwood Procedures–Ultrasonography
  • Recurrence–Ultrasonography
  • Risk Assessment–Ultrasonography
  • Risk Factors–Ultrasonography
  • Sensitivity & Specificity–Ultrasonography
  • Treatment Outcome–Ultrasonography
  • Cardiology
  • Surgery
  • Studies
  • Pulmonary Arteries
  • Intubation
ispartof: The American Journal of Cardiology, Jul 1, 2014, Vol.114(1), pp.117-21
description: Recoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who underwent a Norwood procedure from December 2005 to December 2009 were identified. Subjects were excluded if they did not undergo a TTE within 1 month of an outcome-defining event (cardiac catheterization, autopsy, or surgery). RCoA was defined as arch intervention at catheterization or surgery or findings of RCoA at autopsy. Of 113 subjects included for analysis, RCoA occurred in 19 (17%). All TTE indexes were significantly associated with RCoA in univariate testing. In the final multivariate model, peak isthmus velocity >2.5 m/s (p
language: eng
source:
identifier: ISSN: 00029149 ; E-ISSN: 18791913 ; DOI: 10.1016/j.amjcard.2014.04.014
fulltext: fulltext
issn:
  • 00029149
  • 0002-9149
  • 18791913
  • 1879-1913
url: Link


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titleUsefulness of Transthoracic Echocardiography to Accurately Diagnose Recoarctation of the Aorta After the Norwood Procedure
creatorWellen, Shari ; Glatz, Andrew ; Gillespie, Matthew ; Ravishankar, Chitra ; Cohen, Meryl
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subjectAortic Coarctation–Surgery ; Aortic Coarctation–Ultrasonography ; Echocardiography–Ultrasonography ; Female–Ultrasonography ; Humans–Ultrasonography ; Infant–Ultrasonography ; Infant, Newborn–Ultrasonography ; Male–Ultrasonography ; Norwood Procedures–Ultrasonography ; Recurrence–Ultrasonography ; Risk Assessment–Ultrasonography ; Risk Factors–Ultrasonography ; Sensitivity & Specificity–Ultrasonography ; Treatment Outcome–Ultrasonography ; Cardiology ; Surgery ; Studies ; Pulmonary Arteries ; Intubation
descriptionRecoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who underwent a Norwood procedure from December 2005 to December 2009 were identified. Subjects were excluded if they did not undergo a TTE within 1 month of an outcome-defining event (cardiac catheterization, autopsy, or surgery). RCoA was defined as arch intervention at catheterization or surgery or findings of RCoA at autopsy. Of 113 subjects included for analysis, RCoA occurred in 19 (17%). All TTE indexes were significantly associated with RCoA in univariate testing. In the final multivariate model, peak isthmus velocity >2.5 m/s (p <0.001), coarctation index, defined as the ratio of the narrowest region of the descending thoracic aorta to the distal descending thoracic aorta diameter <0.7...
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descriptionRecoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who underwent a Norwood procedure from December 2005 to December 2009 were identified. Subjects were excluded if they did not undergo a TTE within 1 month of an outcome-defining event (cardiac catheterization, autopsy, or surgery). RCoA was defined as arch intervention at catheterization or surgery or findings of RCoA at autopsy. Of 113 subjects included for analysis, RCoA occurred in 19 (17%). All TTE indexes were significantly associated with RCoA in univariate testing. In the final multivariate model, peak isthmus velocity >2.5 m/s (p <0.001), coarctation index, defined as the ratio of the narrowest region of the descending thoracic aorta to the distal descending thoracic aorta diameter <0.7...
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titleUsefulness of Transthoracic Echocardiography to Accurately Diagnose Recoarctation of the Aorta After the Norwood Procedure
authorWellen, Shari ; Glatz, Andrew ; Gillespie, Matthew ; Ravishankar, Chitra ; Cohen, Meryl
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5Infant–Ultrasonography
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abstractRecoarctation of the aorta (RCoA) is a major cause of morbidity and mortality after the Norwood procedure. We sought to identify transthoracic echocardiographic (TTE) indexes associated with RCoA and to develop a highly sensitive and specific diagnostic score for accurate diagnosis. All subjects who underwent a Norwood procedure from December 2005 to December 2009 were identified. Subjects were excluded if they did not undergo a TTE within 1 month of an outcome-defining event (cardiac catheterization, autopsy, or surgery). RCoA was defined as arch intervention at catheterization or surgery or findings of RCoA at autopsy. Of 113 subjects included for analysis, RCoA occurred in 19 (17%). All TTE indexes were significantly associated with RCoA in univariate testing. In the final multivariate model, peak isthmus velocity >2.5 m/s (p <0.001), coarctation index, defined as the ratio of the narrowest region of the descending thoracic aorta to the distal descending thoracic aorta diameter <0.7...
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doi10.1016/j.amjcard.2014.04.014
urlhttp://search.proquest.com/docview/1534335703/
date2014-07-01