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Cineangiographic aortic dimensions in normal children

Published online by Cambridge University Press:  30 July 2009

Kalyani R. Trivedi ,
Jorge L. Pinzon ,
Brian W. McCrindle ,
Patricia E. Burrows ,
Robert M. Freedom  and
Lee N. Benson
Kalyani R. Trivedi
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
Jorge L. Pinzon
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
Brian W. McCrindle
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
Patricia E. Burrows
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
Robert M. Freedom
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
Lee N. Benson*
Affiliation:
Departments of Pediatrics and Radiology, Division of Cardiology and the Variety Club Cardiac Catheterization Laboratories, The Hospital for Sick Children, University of Toronto School of Medicine, Toronto, Ontario, Canada
*
Division of Cardiology, Room 4515, The Hospital for Sick Children, 555 University Avenue, Toronto, Ontario, CanadaM5G 1X8. Tel: 416 813 3523; Fax: 416 813 7547; Email: benson@sickkids.ca
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Abstract

Knowledge of normal aortic dimensions is important in the management of children with aortic disease. So as to define such dimensions, we undertook a retrospective review of clinical data and aortic cineangiograms from 167 subjects without aortic disease having a mean age of 3.67 years, with a range from 0.01 to 14.95 years. Amongst the patients, 56 were without detectable cardiac lesions, 66 patients had mild pulmonary stenosis, 30 were seen with Kawasaki disease, and 15 with small interatrial defects within the oval fossa. Aorto-grams were available in all. No patient had any hemodynamic derangement that would have affected the aorta during intrauterine life or childhood. Systolic dimensions were measured in the ascending and descending aorta at the level of the carina, at the transverse aortic arch distal to the brachiocephalic, of the left common carotid artery at its origin, at the transverse aortic arch distal to the left common carotid artery, at the aortic isthmus, and of the aorta at the level of the diaphragm. A regression analysis model was used to establish the range of predicted normal values, with their confidence limits, standardizing the values to height as the biophysical parameter having the highest correlation to aortic dimensions. Normal ranges were established for all the levels of measurement. The data should prove useful in identifying abnormalities of the thoracic aorta during childhood, and when assessing the outcomes of interventions.

Keywords

Normal valueschildhoodaortacineangiographic dimensionscardiac measurements
Type
Original Articles
Information
Cardiology in the Young , Volume 12 , Issue 4 , July 2002 , pp. 339 - 344
Copyright
Copyright © Cambridge University Press 2002

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