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2004, Number s1

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Arch Cardiol Mex 2004; 74 (s1)

PERIOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN CONGENITAL HEART DISEASES

Vázquez ACA
Full text How to cite this article

Language: Spanish
References: 10
Page: 106-109
PDF size: 88.65 Kb.


Key words:

Perioperative echocardiography, Transesophageal echocardiography, Congenital heart disease.

ABSTRACT

The usefulness of the perioperative transesophagical echocardiography has been well established in the treatment of patients with congenital heart disease. This modality provides additional anatomical information to transthoracic images and the opportunity of confirming the diagnoses, and according to the findings, deciding if surgical plan changes are require or if a surgical review is needed before leaving the operating room. The perioperative and post-repair examinations are indicated when operations are performed on cardiac defects in which there are echocardiogram residual abnormalities than can be anticipated such as outflow tract obstructions, valve regurgitation or stenosis or residual communications, as a rule in most congenital heart defects surgeries under cardiopulmonary bypass. Valves repairs and the complex reconstruction of the outlet process are the procedures that benefit the most from the additional information.


REFERENCES

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  2. Taams M, Gussenhoven E, Cahalan M: Transesophageal Doppler color flow imaging in the detection of native and Bjork-Shiley mitral valve regurgitation. J Am Coll Cardiol 1989; 78: 95-99.

  3. Fyfe DA, Ritter SB, Zinder AR: Guidelines for perioperative transesophageal echocardiography in children. J Am Soc Echocardiogr 1992; 5: 640-644.

  4. Cheitlin M, Alpert J, Armstrong W: ACC/AHA guidelines for the clinical application of echocardiography: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Committee on Clinical Application of Echocardiography). Circulation 1997; 95: 1686-1744.

  5. Durongpisitkul K, Soongswang J, Sriyoschati S, Suptaweesin T, Prakanrattana U, Kangkagate C: Utility of intraoperative transesophageal echocardiogram in congenital heart disease. J Med Assoc Thai 2000; 83: S46-S53.

  6. O´Leary PW, Hagler DJ, Seward JB, Tajik AJ, Schaff HV, Puga FJ, Danielson GK: Biplane intraoperative transesophageal echocardiography in congenital heart disease. Mayo Clinic Proc 1995; after repair of congenital heart defects. Ann Surg 1989; 210: 526-533.

  7. Muhiudeen IA, Roberson DA, Silverman NH: Intraoperative transesophageal echocardiography for the evaluation of congenital heart defects in infants and children. Anesthesiology 1992; 76: 165-72.

  8. Stevenson JG, Sorenson GK, Graitman DM: Left ventricular outflow tract obstruction: an indication for intraoperative transesophageal echocardiography. J Am Soc Echocardiogr 1993; 6: 525-535.

  9. Randolf GR, Hagler DJ, Connolly HM, Dearani JA, Puga FJ, Danielson GK, Abel MD, Pankratz VS, O’Leary PW: Intraoperative transesophageal echocardiography during surgery for congenital heart defects. J Thorac Cardiovasc Surg 2002; 124: 1176-1182.

  10. Siwik ES, Spector ML, Patel ChR, Zahka KG: Cost and cost-effectiveness of routine transesophageal echocardiography in congenital heart surgery. Am Heart J 1999; 138: 71-776




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Arch Cardiol Mex. 2004;74