Skip to main content
PMC home page
British Heart Journal logoLink to British Heart Journal
. 1978 Apr;40(4):377–382. doi: 10.1136/hrt.40.4.377

Echocardiographic identification of aorta and main pulmonary artery in complete transposition.

A B Houston, N L Gregory, E N Coleman
PMCID: PMC482807  PMID: 646904

Abstract

No completely reliable echocardiographic technique has been described for the separate identification of the aorta and main pulmonary artery in complete transposition of the great arteries. A mechanical wide-angle (60 degrees) sector scanner has been applied to this problem in 17 infants and young children, including 8 newborns before angiocardiography. In all patients a longitudinal scan (saggital section) identified the main pulmonary artery by its directly posterior course immediately beyond the pulmonary valve, and the aorta by its retrosternal course upwards before turning posteriorly above the main pulmonary artery. In addition, a high transverse scan showed the precise spatial relation of the great arteries, and, in 11 of the 17, tilting the scanning plane upwards showed branching of the main pulmonary artery. In 8 infants examined with M-mode echocardiography, an upward sweep from the pulmonary valve showed abrupt termination of the echo from the posterior wall coinciding with the posterior arching of the main pulmonary artery.

Full text

PDF
380

Images in this article

378Image
on p.378
378Image
on p.378
379Image
on p.379
379Image
on p.379
379Image
on p.379
380Image
on p.380
380Image
on p.380

Selected References

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

  1. Dillon J. C., Feigenbaum H., Konecke L. L., Keutel J., Hurwitz R. A., Davis R. H., Chang S. Echocardiographic manifestations of d-transposition of the great vessels. Am J Cardiol. 1973 Jul;32(1):74–78. doi: 10.1016/s0002-9149(73)80087-6. [DOI] [PubMed] [Google Scholar]
  2. Godman M. J., Tham P., Kidd B. S. Echocardiography in the evaluation of the cyanotic newborn infant. Br Heart J. 1974 Feb;36(2):154–166. doi: 10.1136/hrt.36.2.154. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Gramiak R., Chung K. J., Nanda N., Manning J. Echocardiographic diagnosis of transposition of the great vessels. Radiology. 1973 Jan;106(1):187–189. doi: 10.1148/106.1.187. [DOI] [PubMed] [Google Scholar]
  4. Hagan A. D., Deely W. J., Sahn D., Friedman W. F. Echocardiographic criteria for normal newborn infants. Circulation. 1973 Dec;48(6):1221–1226. doi: 10.1161/01.cir.48.6.1221. [DOI] [PubMed] [Google Scholar]
  5. Houston A. B., Gregory N. L., Coleman E. N. Two-dimensional sector scanner echocardiography in cyanotic congenital heart disease. Br Heart J. 1977 Oct;39(10):1076–1081. doi: 10.1136/hrt.39.10.1076. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Houston A. B., Gregory N. L., Shaw A., Wheatley D. J., Coleman E. N. Two-dimensional echocardiography with a wide angle (60 degrees) sector scanner. Br Heart J. 1977 Oct;39(10):1071–1075. doi: 10.1136/hrt.39.10.1071. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. King D. L., Steeg C. N., Ellis K. Demonstration of transposition of the great arteries by cardiac ultrasonography. Radiology. 1973 Apr;107(1):181–186. doi: 10.1148/107.1.181. [DOI] [PubMed] [Google Scholar]
  8. Maron B. J., Henry W. L., Griffith J. M., Freedom R. M., Kelly D. T., Epstein S. E. Identification of congenital malformations of the great arteries in infants by real-time two-dimensional echocardiography. Circulation. 1975 Oct;52(4):671–677. doi: 10.1161/01.cir.52.4.671. [DOI] [PubMed] [Google Scholar]
  9. Mortera C., Hunter S., Tynan M. Diagnosis of ventriculo-arterial discordance (transposition of the great arteries) by contrast echocardiography. Br Heart J. 1977 Aug;39(8):844–846. doi: 10.1136/hrt.39.8.844. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Sahn D. J., Terry R., O'Rourke R., Leopold G., Friedman W. F. Multiple crystal cross-sectional echocardiography in the diagnosis of cyanotic congenital heart disease. Circulation. 1974 Aug;50(2):230–238. doi: 10.1161/01.cir.50.2.230. [DOI] [PubMed] [Google Scholar]
  11. Shaw A., Paton J. S., Gregory N. L., Wheatley D. J. A real time 2-dimensional ultrasonic scanner for clinical use. Ultrasonics. 1976 Jan;14(1):35–40. doi: 10.1016/0041-624x(76)90070-6. [DOI] [PubMed] [Google Scholar]
  12. Solinger R., Elbl F., Minhas K. Deductive echocardiographic analysis in infants with congenital heart disease. Circulation. 1974 Dec;50(6):1072–1096. doi: 10.1161/01.cir.50.6.1072. [DOI] [PubMed] [Google Scholar]
  13. Solinger R., Elbl F., Minhas K. Echocardiography in the normal neonate. Circulation. 1973 Jan;47(1):108–118. doi: 10.1161/01.cir.47.1.108. [DOI] [PubMed] [Google Scholar]
  14. Van Praagh R., Perez-Trevino C., Lõpez-Cuellar M., Baker F. W., Zuberbuhler J. R., Quero M., Perez V. M., Moreno F., Van Praagh S. Transposition of the great arteries with posterior aorta, anterior pulmonary artery, subpulmonary conus and fibrous continuity between aortic and atrioventricular valves. Am J Cardiol. 1971 Dec;28(6):621–631. doi: 10.1016/0002-9149(71)90049-x. [DOI] [PubMed] [Google Scholar]

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

RESOURCES