HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Ungerleider, R. M. Articles by Kisslo, J. A. Search for Related Content PubMed PubMed Citation Articles by Ungerleider, R. M. Articles by Kisslo, J. A.

The Journal of Thoracic and Cardiovascular Surgery, Vol 100, 297-309, Copyright © 1990 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Routine use of intraoperative epicardial echocardiography and Doppler color flow imaging to guide and evaluate repair of congenital heart lesions. A prospective study

RM Ungerleider, WJ Greeley, KH Sheikh, J Philips, FB Pearce, FH Kern and JA Kisslo
Department of Surgery, Duke University Medical Center, Durham, N.C. 27710.

Routine epicardial two-dimensional echocardiography, Doppler, and Doppler color flow imaging studies were performed before and after cardiopulmonary bypass in 328 patients undergoing operations for congenital heart disease. Ages ranged from 1 day to 59 years (mean 5.9 years); the smallest patient was 1.8 kg. Complete examinations were conducted in 3.6 +/- 1.7 minutes. Prebypass examinations demonstrated previously unappreciated details of anatomy in 60 patients (18%), which did not relate to whether catheterization had been performed, and they were believed to play a role in surgical planning in 143 patients (44%). Discovery of previously unrecognized features of anatomy increased the impact of echo-Doppler color flow imaging on operative planning by 2.5 times. After bypass, echo-Doppler color flow imaging disclosed unsuspected residual defects in 22 patients (7%) who were doing well clinically and enabled an attempt at immediate revision of the procedure. When ultimate clinical outcome was compared to postbypass findings of echo-Doppler color flow imaging, the presence of a residual defect, right or left ventricular dysfunction, or any concern with the heart by echo-Doppler color flow imaging appeared to serve as a predictor of unfavorable outcome (p less than 0.001 for each when compared with absence of these difficulties). Thus routine intraoperative echo-Doppler color flow imaging is useful in aiding the planning, conduct, and assessment of results in operations for congenital heart disease.

This article has been cited by other articles:

				J. N. Hilberath, S. K. Shernan, S. Segal, B. Smith, and H. K. Eltzschig The Feasibility of Epicardial Echocardiography for Measuring Aortic Valve Area by the Continuity Equation Anesth. Analg., January 1, 2009; 108(1): 17 - 22. [Abstract] [Full Text] [PDF]

				T. V. Scohy, D. Gommers, A. D. Jan ten Harkel, Y. Deryck, J. McGhie, and Ad.J.J.C. Bogers Intraoperative evaluation of micromultiplane transesophageal echocardiographic probe in surgery for congenital heart disease Eur J Echocardiogr, August 1, 2007; 8(4): 241 - 246. [Abstract] [Full Text] [PDF]

				O. Honjo, Y. Kotani, S. Osaki, Y. Fujita, T. Suezawa, A. Tateishi, K. Ishino, M. Kawada, T. Akagi, and S. Sano Discrepancy Between Intraoperative Transesophageal Echocardiography and Postoperative Transthoracic Echocardiography in Assessing Congenital Valve Surgery Ann. Thorac. Surg., December 1, 2006; 82(6): 2240 - 2246. [Abstract] [Full Text] [PDF]

				V. L. Vida, T. Bottio, O. Milanesi, E. Reffo, R. Biffanti, R. Bonato, and G. Stellin Critical Aortic Stenosis in Early Infancy: Surgical Treatment for Residual Lesions After Balloon Dilation Ann. Thorac. Surg., January 1, 2005; 79(1): 47 - 51. [Abstract] [Full Text] [PDF]

				A. Mahajan Intraoperative Echocardiography in Pediatric Heart Disease Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2001; 5(1): 21 - 30. [Abstract] [PDF]

				G. Stellin, M. Padalino, O. Milanesi, V. Vida, A. Favaro, M. Rubino, R. Biffanti, and D. Casarotto Repair of congenital mitral valve dysplasia in infants and children: is it always possible? Eur. J. Cardiothorac. Surg., July 1, 2000; 18(1): 74 - 82. [Abstract] [Full Text] [PDF]

				S. K. Kaushal, S. Radhakrishanan, K. S. Dagar, P. U. Iyer, S. Girotra, S. Shrivastava, and K. S. Iyer Significant intraoperative right ventricular outflow gradients after repair for tetralogy of Fallot: to revise or not to revise? Ann. Thorac. Surg., November 1, 1999; 68(5): 1705 - 1712. [Abstract] [Full Text] [PDF]

				J. S. Shanewise, A. T. Cheung, S. Aronson, W. J. Stewart, R. L. Weiss, J. B. Mark, R. M. Savage, P. Sears-Rogan, J. P. Mathew, M. A. Quinones, et al. ASE/SCA Guidelines for Performing a Comprehensive Intraoperative Multiplane Transesophageal Echocardiography Examination: Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography Anesth. Analg., October 1, 1999; 89(4): 870 - 870. [Full Text] [PDF]

				G. Ulma, J. G. Stevenson, F. M. Lupinetti, and J. P. Morray TRANSESOPHAGEAL ECHOCARDIOGRAPHIC DIAGNOSIS OF IATROGENIC CORONARY SINUS STENOSIS: A CASE REPORT J. Thorac. Cardiovasc. Surg., September 1, 1997; 114(3): 493 - 495. [Full Text]

				N. Sreeram, R. Jagtap, E. D. Silove, W. J. Brawn, and B. Sethia Intraoperative Epicardial Echocardiography in Assessing Pulmonary Artery Banding Procedures Ann. Thorac. Surg., December 1, 1995; 60(6): 1778 - 1782. [Abstract] [Full Text]