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Congenital Aortic Stenosis in Young Children: With Special Reference to Phonocardiography and Indirect Tracings of the Arterial Pulse

Congenital Aortic Stenosis in Young Children: With Special Reference to Phonocardiography and... Abstract Introduction The diagnosis of congenital aortic stenosis in children can be missed easily. Many of the symptoms indicating aortic stenosis in an adult, like dyspnea on exertion, dizziness with occasional syncope, or left ventricular hypertrophy, were not present in most of our patients. In childhood incipient or moderate forms of aortic valvular disease prevail.Several authors1-4 have stressed the importance of tracings of the arterial pulse wave, taken from the brachial or carotid artery. We feel that direct tracings obtained by puncture of a main artery cannot be performed routinely because of the discomfort to the child. Moreover, the tracings from the brachial or radial artery are likely to be less typical than those from the carotid artery, which is closer to the aortic valves. Also, curves derived from the arterial wall may give more information in valvular aortic stenosis than tracings of the intraluminar pressure (Fig. 1). For References 1. Donoso, E.; Sapin, S. O.; Kuhn, L. A., and Grishman, A.: The Use of Indirect Arterial Pulse Tracings in the Diagnosis of Congenital Subaortic and Aortic Stenosis , Pediatrics 18:205, 1956. 2. Goldberg, H.; Bakst, A. A., and Bailey, C. P.: The Dynamics of Aortic Valvular Disease , Am. Heart J. 47:527, 1954.Crossref 3. Downing, D. F.: Congenital Aortic Stenosis: Clinical Aspects and Surgical Treatment , Circulation 14:188, 1956.Crossref 4. Nadas, A. S.; Ongley, P. A., and Rudolph, A. M.: Aortic Stenosis in Children , A. M. A. J. Dis. Child. 92: 501, 1956. 5. Smith, J. E.: A Technique for Recording Carotid Artery Pulsations with Special Reference to Aortic Stenosis , Am. Heart J. 49:428, 1955.Crossref 6. Bruins, C.: Personal communication to the authors. 7. Yamaguchi, T.: Acta scholae med. univ. imp. Kioto 12:21, 1929; 8. cited by Gerritsen.8 9. Gerritsen, J. W.: Phonocardiography, Thesis, Groningen, 1957. 10. Symposium on Coarctation of the Aorta , Proc. Staff Meet. Mayo Clin. 23:321, 1948. 11. Gorlin, R.; McMillan, I. K. R.; Matthews, M. B., and Daley, R.: Dynamics of the Circulation in Aortic Valvular Disease , Am. J. Med. 18: 855, 1955.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Congenital Aortic Stenosis in Young Children: With Special Reference to Phonocardiography and Indirect Tracings of the Arterial Pulse

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References (8)

Publisher
American Medical Association
Copyright
Copyright © 1958 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1958.02060050172010
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction The diagnosis of congenital aortic stenosis in children can be missed easily. Many of the symptoms indicating aortic stenosis in an adult, like dyspnea on exertion, dizziness with occasional syncope, or left ventricular hypertrophy, were not present in most of our patients. In childhood incipient or moderate forms of aortic valvular disease prevail.Several authors1-4 have stressed the importance of tracings of the arterial pulse wave, taken from the brachial or carotid artery. We feel that direct tracings obtained by puncture of a main artery cannot be performed routinely because of the discomfort to the child. Moreover, the tracings from the brachial or radial artery are likely to be less typical than those from the carotid artery, which is closer to the aortic valves. Also, curves derived from the arterial wall may give more information in valvular aortic stenosis than tracings of the intraluminar pressure (Fig. 1). For References 1. Donoso, E.; Sapin, S. O.; Kuhn, L. A., and Grishman, A.: The Use of Indirect Arterial Pulse Tracings in the Diagnosis of Congenital Subaortic and Aortic Stenosis , Pediatrics 18:205, 1956. 2. Goldberg, H.; Bakst, A. A., and Bailey, C. P.: The Dynamics of Aortic Valvular Disease , Am. Heart J. 47:527, 1954.Crossref 3. Downing, D. F.: Congenital Aortic Stenosis: Clinical Aspects and Surgical Treatment , Circulation 14:188, 1956.Crossref 4. Nadas, A. S.; Ongley, P. A., and Rudolph, A. M.: Aortic Stenosis in Children , A. M. A. J. Dis. Child. 92: 501, 1956. 5. Smith, J. E.: A Technique for Recording Carotid Artery Pulsations with Special Reference to Aortic Stenosis , Am. Heart J. 49:428, 1955.Crossref 6. Bruins, C.: Personal communication to the authors. 7. Yamaguchi, T.: Acta scholae med. univ. imp. Kioto 12:21, 1929; 8. cited by Gerritsen.8 9. Gerritsen, J. W.: Phonocardiography, Thesis, Groningen, 1957. 10. Symposium on Coarctation of the Aorta , Proc. Staff Meet. Mayo Clin. 23:321, 1948. 11. Gorlin, R.; McMillan, I. K. R.; Matthews, M. B., and Daley, R.: Dynamics of the Circulation in Aortic Valvular Disease , Am. J. Med. 18: 855, 1955.Crossref

Journal

A.M.A. Journal of Diseases of ChildrenAmerican Medical Association

Published: Feb 1, 1958

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