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Br Heart J. 1987 January; 57(1): 38–43.
PMCID: PMC1277144

Doppler ultrasound in the assessment of severity of coarctation of the aorta and interruption of the aortic arch.


Doppler ultrasound was used to investigate 48 infants and children (age 2 days-16 years, weight 1.0-58 kg) with aortic arch abnormalities. In only 38 of the 42 with an important coarctation was an increased blood flow velocity from the distal arch demonstrated. In three with interruption of the aortic arch an increased velocity recorded from the region of the distal arch was thought to represent ductal flow. There was little difference between the peak to peak and instantaneous maximum gradients in the 20 patients with important coarctation in whom direct pressure measurements both proximal and distal to the obstruction were made at catheterisation. There were poor agreements between Doppler and measured peak to peak and instantaneous gradients in the 17 patients found to have both an increased velocity and important coarctation. It is concluded that although an increased blood flow velocity in the distal arch is usually demonstrated in coarctation this may not occur with severe obstruction. Furthermore, the maximum velocity is not related to the anatomical severity of the obstruction and the Doppler estimate of pressure drop in coarctation may not even reliably predict that measured at catheterisation.

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Selected References

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  • Wyse RK, Robinson PJ, Deanfield JE, Tunstall Pedoe DS, Macartney FJ. Use of continuous wave Doppler ultrasound velocimetry to assess the severity of coarctation of the aorta by measurement of aortic flow velocities. Br Heart J. 1984 Sep;52(3):278–283. [PMC free article] [PubMed]
  • Robinson PJ, Wyse RK, Deanfield JE, Franklin R, Macartney FJ. Continuous wave Doppler velocimetry as an adjunct to cross sectional echocardiography in the diagnosis of critical left heart obstruction in neonates. Br Heart J. 1984 Nov;52(5):552–556. [PMC free article] [PubMed]
  • Hatle L, Brubakk A, Tromsdal A, Angelsen B. Noninvasive assessment of pressure drop in mitral stenosis by Doppler ultrasound. Br Heart J. 1978 Feb;40(2):131–140. [PMC free article] [PubMed]
  • Wilson N, Goldberg SJ, Dickinson DF, Scott O. Normal intracardiac and great artery blood velocity measurements by pulsed Doppler echocardiography. Br Heart J. 1985 Apr;53(4):451–458. [PMC free article] [PubMed]
  • Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986 Feb 8;1(8476):307–310. [PubMed]
  • Houston AB, Sheldon CD, Simpson IA, Doig WB, Coleman EN. The severity of pulmonary valve or artery obstruction in children estimated by Doppler ultrasound. Eur Heart J. 1985 Sep;6(9):786–790. [PubMed]
  • Simpson IA, Houston AB, Sheldon CD, Hutton I, Lawrie TD. Clinical value of Doppler echocardiography in the assessment of adults with aortic stenosis. Br Heart J. 1985 Jun;53(6):636–639. [PMC free article] [PubMed]
  • Houston AB, Simpson IA, Sheldon CD, Doig WB, Coleman EN. Doppler ultrasound in the estimation of the severity of pulmonary infundibular stenosis in infants and children. Br Heart J. 1986 Apr;55(4):381–384. [PMC free article] [PubMed]
  • Holen J, Aaslid R, Landmark K, Simonsen S, Ostrem T. Determination of effective orifice area in mitral stenosis from non-invasive ultrasound Doppler data and mitral flow rate. Acta Med Scand. 1977 Jan;201(1-2):83–88. [PubMed]
  • Teirstein PS, Yock PG, Popp RL. The accuracy of Doppler ultrasound measurement of pressure gradients across irregular, dual, and tunnellike obstructions to blood flow. Circulation. 1985 Sep;72(3):577–584. [PubMed]
  • Remington JW, O'Brien LJ. Construction of aortic flow pulse from pressure pulse. Am J Physiol. 1970 Feb;218(2):437–447. [PubMed]

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