Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology

H. D. Allen, S. J. Goldberg, David Sahn, T. W. Ovitt, B. B. Goldberg

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Echocardiographic suprasternal relationships of the transverse aortic arch (TAA), right pulmonary artery (RPA) and left atrium (Y' LAD) were validated and angiographic echocardiographic measurement correlation were made for each structure. Normal values were determined with respect to body surface area. In normals, regardless of age or body size, mean dimensional TAA/RPA ratio was 1.2:1 and Y' LAD equaled the anterior posterior, or Z axis, left atrial dimension (Z LAD), TAA/RPA ratio was increased in aortic stenosis and tetralogy of Fallot and was decreased in ventricular septal defect, atrial septal defect and pulmonary stenosis. Ratio did not correlate with lesion severity as assessed by cardiac catheterization except in pulmonary stenosis. Discrepant Y' LAD values (usually increased Y' LAD and decreased Z LAD) occurred in children with various forms of heart disease. Some had sternal compression but others had normal chests. Children with pectus excavatum showed similar compression. These findings underscore the need for incorporation of a suprasternal examination into the standard echocardiographic examination of children.

Original languageEnglish (US)
Pages (from-to)605-612
Number of pages8
JournalCirculation
Volume55
Issue number4
StatePublished - 1977
Externally publishedYes

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Cardiology
Thoracic Aorta
Pulmonary Artery
Echocardiography
Pulmonary Valve Stenosis
Pediatrics
Funnel Chest
Tetralogy of Fallot
Atrial Heart Septal Defects
Body Surface Area
Ventricular Heart Septal Defects
Aortic Valve Stenosis
Body Size
Cardiac Catheterization
Heart Atria
Heart Diseases
Reference Values
Thorax

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Allen, H. D., Goldberg, S. J., Sahn, D., Ovitt, T. W., & Goldberg, B. B. (1977). Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology. Circulation, 55(4), 605-612.

Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology. / Allen, H. D.; Goldberg, S. J.; Sahn, David; Ovitt, T. W.; Goldberg, B. B.

In: Circulation, Vol. 55, No. 4, 1977, p. 605-612.

Research output: Contribution to journalArticle

Allen, HD, Goldberg, SJ, Sahn, D, Ovitt, TW & Goldberg, BB 1977, 'Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology', Circulation, vol. 55, no. 4, pp. 605-612.
Allen HD, Goldberg SJ, Sahn D, Ovitt TW, Goldberg BB. Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology. Circulation. 1977;55(4):605-612.
Allen, H. D. ; Goldberg, S. J. ; Sahn, David ; Ovitt, T. W. ; Goldberg, B. B. / Suprasternal notch echocardiography. Assessment of its clinical utility in pediatric cardiology. In: Circulation. 1977 ; Vol. 55, No. 4. pp. 605-612.
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