Vázquez-Antona CA

Language: Spanish
References: 12
Page: 226-232
PDF size: 358.94 Kb.

ABSTRACT

Advances in cardiac surgery, intensive care and non-invasive diagnostic methods in congenital heart diseases have allowed ford a high percentage of these patients to arrive to adult hodd. Initial presentation of this type of anomalies in adult life is now uncommon. Most of these lesions are not arribe complex and easily acknowledged, but occasionally complex defects that represent a challenge for the diagnostic and treatment options. The handling of this groups of patients requires detailed information of the cardiac anatomy and cardiovascular pathophysiology. Transthoracic echocardiography (TEE) is a widely used method considered the initial method of choice. The transesophageal echocardiography (ETE) in combination with pulsed and continuous wave Doppler and color flow mapping provide high image resolution, in real time, of the cardiac structures to establish the diagnosis and hemodynamic repercussion, offering besides an important support during interventional cardiac catheterization procedures and monitoring during surgical procedures. To perform and interpret the studies of congenital heart disease, it must be acknowledged that this is a highly specializated technique that requires in depth knowledge of the spatial cardiac anatomy and pathology of the lesions, as well as the understanding of the different options of treatment and complications.
Recently a it three-dimensional reconstruction of cardiac ultrasound image has which permits the spatial recognition of the intracardiac anatomy and provides additional information for the understanding of the congenital heart disease.

REFERENCES

1. Moodie DS: Adult congenital heart disease. Curr Opin Cardiol 1995; 10:95-98.

2. Miller-Hance WC, Silverman NH: Transesophageal echocardiography (TEE) in congenital Heart disease with focus on the adult. Clin Cardiol 2000; 4: 861-892.

3. Warnes CA, Liberthson R, Danielson GK, Dore A, Harris L, Hoffman JI, Somerville J, Williams RG, Webb GD: Task Force 1: The Changing profile of congenital heart disease in Adult life. JACC 2001; 5: 1170-5.

4. Houston A, Hillis S, Richens S, Swan L: Echocardiography in adult congenital heart disease. Heart 1998; 80(supp1): S12-S26.

5. Zamora GC: Clínica de Cardiopatías congénitas del adulto, Instituto Nacional de Cardiología Ignacio Chávez, México. Comunicación personal.

6. Attie F: Cardiopatías congénitas del Adulto. Arch Inst Cardiol Mex 2001; 71(sup1): S10-S16.

7. Moons P, De Volder E, Budts W, De Geest S, Elen J, Waeytens, Gewillig M: What do adult patients heart disease know about their disease, treatment, and prevention of complications? A call for structured patient education. Heart 2001; 86: 74-80.

8. Stumper D: Imaging the heart in adult heart disease. Heart 1998; 80:535-536

9. Díaz-Góngora G, Attie F, Quero-Jiménez M, Muñoz-Castellanos L, Anderson R, Tiñan M, Baños RA: La secuencia diagnóstica de las cardiopatías congénitas. Arch Inst Cardiol Mex 1982; 52: 69-78.

10. Vargas-Barrón J, Rijlaarsdam M, Romero-Cárdenas A, Keirns C, Díaz-Moncada S: Transesophageal echocardiography in adults with congenital cardiopathies. Am Heart J 1993; 126: 426-432.

11. Cheitlin MD, Alpert JS, Armstrong WF: 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.

12. Salustri A, Spitaels S, McGhie J, Vletter W, Roelandt J: Transthoracic Three-Dimensional Echocardiography in adults patients with congenital heart disease. J Am Coll Cardiol 1995;26:759-67.