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What is the feasibility of imaging coronary arteries during routine echocardiograms in children?

Michele Clouse1, Colleen Cailes, Judy Devine

  • 1Children's Hospital and Regional Medical Center and University of Washington School of Medicine, Seattle, USA.

Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography
|November 2, 2002
PubMed

Insights

Routine echocardiograms can image coronary artery (CA) origins in children, detecting abnormalities. This feasible pediatric echocardiography approach offers potentially life-saving early detection of congenital heart conditions.

Area of Science:

  • Pediatric Cardiology
  • Diagnostic Imaging
  • Congenital Heart Disease

Background:

  • Coronary artery (CA) abnormalities can be linked to sudden cardiac death.
  • Limited data exist on routine echocardiographic imaging of CA origins in pediatric populations.

Purpose of the Study:

  • To assess the feasibility of imaging coronary artery origins during standard pediatric echocardiograms.
  • To establish baseline data for CA origin visualization in children.

Main Methods:

  • 100 children without heart disease underwent routine echocardiography.
  • Coronary artery origins were identified and their locations recorded using a clock-face reference.
  • Feasibility of imaging was assessed based on visualization rates.

Main Results:

  • The left CA origin was visualized in 98% of patients, typically at 3:30 o'clock.
  • The right CA origin was visualized in 95% of patients, typically at 11 o'clock.
  • Four CA abnormalities were identified: two with right CA originating from the left sinus, one circumflex originating from the right CA, and one left CA to pulmonary artery fistula.

Conclusions:

  • Routine echocardiography is a feasible method for imaging coronary artery origins in children.
  • This imaging technique can potentially detect congenital CA abnormalities, leading to life-saving interventions.
Abstract

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