Abstract
Two-dimensional echocardiographic examinations of the proximal left and right coronary artery were performed in 100 children without heart disease. Fifty-nine boys and 41 girls were studied whose ages ranged from 1 day to 17 years old. The diameter of the proximal right and left coronary artery was 1 mm in newborns and 4.5 mm in teenagers. No significant difference was observed between male and female subjects. A linear correlation between the coronary artery dimensions and the patient's age, weight, length, and body surface area could be demonstrated. The closest linear correlation corresponded to the patient's length with a correlation coefficient ofr=0.91 andr=0.89 for the right and the left proximal coronary artery respectively. A quick orientation concerning normality of coronary artery diameters is possible with our graph of body length and corresponding coronary artery size. Knowing normal echocardiographic values for proximal coronary artery diameters, even subtle changes of these vessels can be diagnosed and the number of invasive diagnostic procedures, e.g. in Kawaski disease, can be reduced.
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Abbreviations
- 2d-E:
-
two-dimensional echocardiography
References
Arjunan K, Daniels SR, Meyer RA, Schwartz DC, Barron H, Kaplan S (1986) Coronary artery caliber in normal children and patients with Kawasaki disease but without aneurysms: an echocardiographic and angiographic study. J Am Coll Cardiol 8:1119–124
Capannari TE, Daniels SR, Meyer RA, Schwartz DC, Kaplan S (1986) Sensitivity, specificity and predictive value of two-dimensional echocardiography in detecting coronary artery aneurysms in patients with Kawasaki disease. J Am Coll Cardiol 7:355–360
Chung KJ, Brandt L, Fulton DR, Kreidberg MB (1982) Cardiac and coronary arterial involvement in infants and children from New England with mucocutaneous lymph node syndrome (Kawasaki disease). Am J Cardiol 50:136–142
Cremer HK (1980) Abschließende Fragen, zum Kawasaki Syndrom. Monatsschr Kinderheilkd 128:591–592
Fukushige J, Nihill MR, McNamara DG (1980) Spectrum of cardiovascular lesions in mucocutaneous lymph node syndrome: analysis of eight cases Am J Cardiol 45:98–107
Hiraishi S, Yashiro K, Kusano S (1979) Noninvasive visualization of coronary arterial aneurysm in infants and young children with mucocutaneous lymph node syndrome with two dimensional echocardiography. Am J Cardiol 43:1225–1233
Ino T (1984) Angiographical studies on the distribution of coronary arteries in children. 2. Caliber and distribution of coronary arteries in congenital heart disease. Acta Paediatr Jpn 26:178–184
Kohr RM (1986) Progressive asymptomatic coronary artery disease as a late fatal sequela of Kawasaki disease. J Pediatr 108:256–259
Meyer RA (1984) Kawasaki syndrome: coronary artery disease in the young. Echocardiography 1:75–86
Onouchi Z, Shimazu S, Kiyosawa N, Takamatsu T, Hamaoka K (1982) Aneurysms of the coronary arteries in Kawasaki disease. Circulation 66:6–13
Turner-Gomes S, Rose V, Brezina A, Smallhorn J, Rowe RD (1986) High persistance rate of established coronary artery lesions secondary to Kawasaki disease among a panethnic Canadian population. J Pediatr 108:928–932
Yanagawa H, Kawasaki I, Shigematsu I (1987) Nationwide survey on Kawasaki disease in Japan. Pediatrics 80:58–62
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Oberhoffer, R., Lang, D. & Feilen, K. The diameter of coronary arteries in infants and children without heart disease. Eur J Pediatr 148, 389–392 (1989). https://doi.org/10.1007/BF00595893
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DOI: https://doi.org/10.1007/BF00595893