Our hypothesis was that the relationship between the internal aortic diameter and the Doppler flow velocity across the aortic isthmus could be modeled by applying the principle of conservation of mass flow. The aortic diameter decreased at the isthmus by a mean of 18% (t = 11.02, p < 0.0001), while the flow velocity increased by a mean of 44% (t = 10.09, p < 0.0001). The mean peak mass flow rate was 34. 5 ml/s preisthmus and 32.9 ml/s at the isthmus with excellent correlation (r = 0.830). We conclude that the increase in Doppler velocity observed in the descending aorta can be explained by the normal narrowing observed at the aortic isthmus and application of the continuity equation for conservation of mass flow.
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http://dx.doi.org/10.1159/000006911 | DOI Listing |
Magn Reson Med
January 2025
Department of Radiology & Nuclear Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
Purpose: To correct maternal breathing and fetal bulk motion during fetal 4D flow MRI.
Methods: A Doppler-ultrasound fetal cardiac-gated free-running 4D flow acquisition was corrected post hoc for maternal respiratory and fetal bulk motion in separate automated steps, with optional manual intervention to assess and limit fetal motion artifacts. Compressed-sensing reconstruction with a data outlier rejection algorithm was adapted from previous work.
Pediatrics
January 2025
Department of Pediatric Cardiology and Critical Care, Hannover Medical School, Hannover, Germany.
Coarctation of the aorta (CoA) is a potentially life-threatening congenital and obstructive anomaly of the distal aortic arch. After constriction of the ductus arteriosus, neonates may develop critical CoA in the isthmus area and present with severe left ventricular dysfunction or even cardiac failure. Low cardiac output and abdominal hypoperfusion (distal to the coarctation) may lead to metabolic derangements and clinical deterioration.
View Article and Find Full Text PDFInt J Cardiol
December 2024
Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Clinical Research Center for Medical Imaging in Hubei Province, Wuhan, China; Hubei Province Key Laboratory of Molecular Imaging, Wuhan, China. Electronic address:
Background: Our study aimed to develop a novel diagnostic model for fetal coarctation of the aorta with ventricular septal defect(CoA/VSD).
Methods And Results: We respectively included 70 fetuses with suspected CoA/VSD(January 2017-June 2023). After birth, 26 fetuses (26/47, 55.
Kyobu Geka
November 2024
Department of Surgery, Saiseikai Yamaguchi Hospital, Yamaguchi, Japan.
A 77-year-old man had severe aortic stenosis and continuous atrial fibrillation. We performed maze procedure without left atrial incision( Dallas lesion set) during aortic valve replacement for this patient. Dallas lesion set alternates the isolation of mitral isthmus by connecting ablation line beneath left coronary cusp and noncoronary cusp commissure of the aortic valve with ablation from epicardial side of the upper left atrium.
View Article and Find Full Text PDFRadiol Cardiothorac Imaging
December 2024
From the Departments of Radiology (E.K.E., T.F., M.L.M., L.P.B., A.J.B.), Pediatrics-Cardiology (R.M.F.), and Bioengineering (A.J.B.), University of Colorado Anschutz Medical Campus, 13123 E 16th Ave B125, Aurora, CO 80045; and Department of Radiology, Children's Hospital Colorado, Aurora, Colo (S.A.S., A.J.B.).
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