Skip to main content
NCBI home page
British Heart Journal logoLink to British Heart Journal
. 1985 Nov;54(5):527–532. doi: 10.1136/hrt.54.5.527

Descending aortography with balloon inflation. A technique for evaluating the size of persistent ductus arteriosus in infants with large proximal left to right shunts.

P S Rao
PMCID: PMC481941  PMID: 4052294

Abstract

Six infants underwent angiography of the aortic root and the descending aorta with balloon inflation during diagnostic cardiac catheterisation and angiography. In these infants with large proximal left to right shunts, descending aortography with balloon inflation resulted in better opacification of the persistent ductus arteriosus than aortic root angiography, thereby enabling accurate measurement of the persistent ductus arteriosus. Similar systemic and pulmonary vascular impedances had been speculated as the cause of poor or non-opacification of the ductus after ascending aortography. Balloon inflation may have altered the aortic impedance with resulting opacification of the ductus. Descending aortic angiography with balloon inflation is also useful in opacifying the isolated ductus and in demonstrating aortopulmonary collaterals in patients with pulmonary atresia.

Full text

PDF
527

Images in this article

528Image
on p.528
528Image
on p.528
529Image
on p.529
530Image
on p.530
531Image
on p.531

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anand N. K., Soloria M., Braudo J. L., Shaffer A. B. Nonvisualization by aortography of patent ductus arteriosus associated with a large proximal left-to-right shunt. Chest. 1971 Aug;60(2):156–160. doi: 10.1378/chest.60.2.156. [DOI] [PubMed] [Google Scholar]
  2. Bedford R. F., Wollman H. Complications of percutaneous radial-artery cannulation: an objective prospective study in man. Anesthesiology. 1973 Mar;38(3):228–236. doi: 10.1097/00000542-197303000-00006. [DOI] [PubMed] [Google Scholar]
  3. Boijsen E., Lundström N. R. Percutaneous cardiac catheterization and angiocardiography in infants and children. Am J Cardiol. 1968 Oct;22(4):572–575. doi: 10.1016/0002-9149(68)90164-1. [DOI] [PubMed] [Google Scholar]
  4. Chesler E., Matisonn R., Beck W. The assessment of the arterial supply to the lungs in pseudotruncus arteriosus and truncus arteriosus type IV in relation to surgical repair. Am Heart J. 1974 Nov;88(5):542–552. doi: 10.1016/0002-8703(74)90236-1. [DOI] [PubMed] [Google Scholar]
  5. Freed M. D., Keane J. F., Rosenthal A. The use of heparinization to prevent arterial thrombosis after percutaneous cardiac catheterization in children. Circulation. 1974 Sep;50(3):565–569. doi: 10.1161/01.cir.50.3.565. [DOI] [PubMed] [Google Scholar]
  6. Ho C. S., Krovetz L. J., Rowe R. D. Major complications of cardiac catheterization and angiocardiography in infants and children. Johns Hopkins Med J. 1972 Sep;131(3):247–258. [PubMed] [Google Scholar]
  7. Jefferson K., Rees S., Somerville J. Systemic arterial supply to the lungs in pulmonary atresia and its relation to pulmonary artery development. Br Heart J. 1972 Apr;34(4):418–427. doi: 10.1136/hrt.34.4.418. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. KEITH J. D., FORSYTH C. Aortography in infants. Circulation. 1950 Dec;2(6):907–914. doi: 10.1161/01.cir.2.6.907. [DOI] [PubMed] [Google Scholar]
  9. Kirkpatrick S. E., Takahashi M., Petry E. L., Stanton R. E., Lurie P. R. Percutaneous heart catheterization in infants and children. II. Prospective study of results and complications in 127 consecutive cases. Circulation. 1970 Dec;42(6):1049–1056. doi: 10.1161/01.cir.42.6.1049. [DOI] [PubMed] [Google Scholar]
  10. LURIE P. R., ARMER R. M., KLATTE E. C. PERCUTANEOUS GUIDE WIRE CATHETERIZATION--DIAGNOSIS AND THERAPY. Am J Dis Child. 1963 Aug;106:189–196. [PubMed] [Google Scholar]
  11. Macartney F. J., Scott O., Deverall P. B. Haemodynamic and anatomical characteristics of pulmonary blood supply in pulmonary atresia with ventricular septal defect - including a case of persistent fifth aortic arch. Br Heart J. 1974 Nov;36(11):1049–1060. doi: 10.1136/hrt.36.11.1049. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Mardini M. K., Rao P. S. Aortic arch angiography in patients with patent ductus arteriosus: a new technique. Pediatr Cardiol. 1983 Jan-Mar;4(1):53–54. doi: 10.1007/BF02281008. [DOI] [PubMed] [Google Scholar]
  13. Mardini M. K., Rao P. S. Left ventricular and aortic catheterization and angiography via a patent ductus arteriosus: a new technique. Cathet Cardiovasc Diagn. 1983;9(1):89–95. doi: 10.1002/ccd.1810090113. [DOI] [PubMed] [Google Scholar]
  14. McGoon D. C., Baird D. K., Davis G. D. Surgical management of large bronchial collateral arteries with pulmonary stenosis or atresia. Circulation. 1975 Jul;52(1):109–118. doi: 10.1161/01.cir.52.1.109. [DOI] [PubMed] [Google Scholar]
  15. Mills N. L., King T. D. Nonoperative closure of left-to-right shunts. J Thorac Cardiovasc Surg. 1976 Sep;72(3):371–378. [PubMed] [Google Scholar]
  16. Parrish M. D., Graham T. P., Jr, Smith C. W., Thompson S. Retrograde cardiovascular angiography in infants, using a 3.6 French catheter. Pediatr Cardiol. 1982;2(3):225–230. doi: 10.1007/BF02332113. [DOI] [PubMed] [Google Scholar]
  17. Porstmann W., Wierny L., Warnke H., Gerstberger G., Romaniuk P. A. Catheter closure of patent ductus arteriosus. 62 cases treated without thoracotomy. Radiol Clin North Am. 1971 Aug;9(2):203–218. [PubMed] [Google Scholar]
  18. Rao P. S., Thapar M. K., Rogers J. H., Jr, Strong W. B., Lutcher C. L., Nesbit R. R., Jr, Wray C. H. Effect of intraarterial injection of heparin on the complications of percutaneous arterial catheterization in infants and children. Cathet Cardiovasc Diagn. 1981;7(3):235–246. doi: 10.1002/ccd.1810070303. [DOI] [PubMed] [Google Scholar]
  19. Rao P. S., Thapar M. K., Strong W. B. Nonopacification of patent ductus arteriosus by aortography in patients with large ventricular septal defects. Angiology. 1978 Dec;29(12):888–897. doi: 10.1177/000331977802901203. [DOI] [PubMed] [Google Scholar]
  20. Rashkind W. J. Transcatheter treatment of congenital heart disease. Circulation. 1983 Apr;67(4):711–716. doi: 10.1161/01.cir.67.4.711. [DOI] [PubMed] [Google Scholar]
  21. SASAHARA A. A., NADAS A. S., RUDOLPH A. M., WITTENBORG M. H., GROSS R. E. Ventricular septal defect with patent ductus arteriosus. A clinical and hemodynamic study. Circulation. 1960 Aug;22:254–264. doi: 10.1161/01.cir.22.2.254. [DOI] [PubMed] [Google Scholar]
  22. Sato K., Fujino M., Kozuka T., Naito Y., Kitamura S., Nakano S., Ohyama C., Kawashima Y. Transfemoral plug closure of patent ductus arteriosus. Experiences in 61 consecutive cases treated without thoracotomy. Circulation. 1975 Feb;51(2):337–341. doi: 10.1161/01.cir.51.2.337. [DOI] [PubMed] [Google Scholar]
  23. Somerville J. Management of pulmonary atresia. Br Heart J. 1970 Sep;32(5):641–651. doi: 10.1136/hrt.32.5.641. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Stanger P., Heymann M. A., Tarnoff H., Hoffman J. I., Rudolph A. M. Complications of cardiac catheterization of neonates, infants, and children. A three-year study. Circulation. 1974 Sep;50(3):595–608. doi: 10.1161/01.cir.50.3.595. [DOI] [PubMed] [Google Scholar]
  25. Ueda K., Saito A., Nakano H. Aortography by countercurrent injection via the radial artery in infants with congenital heart disease. Pediatr Cardiol. 1982;2(3):231–236. doi: 10.1007/BF02332114. [DOI] [PubMed] [Google Scholar]
  26. VLAD P., HOHN A., LAMBERT E. C. RETROGRADE ARTERIAL CATHETERIZATION OF THE LEFT HEART. EXPERIENCE WITH 500 INFANTS AND CHILDREN. Circulation. 1964 May;29:787–793. doi: 10.1161/01.cir.29.5.787. [DOI] [PubMed] [Google Scholar]
  27. Wyatt R., Glaves I., Cooper D. J. Proximal skin necrosis after radial-artery cannulation. Lancet. 1974 Jun 8;1(7867):1135–1138. doi: 10.1016/s0140-6736(74)90621-7. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES