Academic Journal
Impact of perioperative transesophageal echocardiography on tetralogy of fallot total repair
| العنوان: | Impact of perioperative transesophageal echocardiography on tetralogy of fallot total repair |
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| المؤلفون: | Yasmin Abdel Razek, Maiy Hamdy el sayed, Mohamed Ayman Shoeb, Azza Abdullah El Fiky, Alaa Mahmoud roshdy, Sameh Samir Raafat |
| المصدر: | The Egyptian Heart Journal, Vol 66, Iss 1, p 13 (2014) |
| بيانات النشر: | SpringerOpen |
| سنة النشر: | 2014 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | CPB cardiopulmonary bypass, IAS interatrial septum, LAD left anterior descending coronary artery, LCX left circumflex coronary artery, LM left main coronary artery, PR pulmonary regurgitation, RCA right coronary artery, RVOT right ventricular outflow tract, TTE transthoracic echocardiography, TEE transesophageal echocardiography, TV tricuspid valve, TOF tetralogy of Fallot, VSD ventricular septal defect, Diseases of the circulatory (Cardiovascular) system, RC666-701 |
| الوصف: | Previous studies have suggested that in cardiac surgical patients, TEE provides essential information before and after cardiopulmonary bypass regarding cardiac performance, valve function, and congenital anomalies. Significant residual abnormalities may be missed during TOF surgical repair. The result is often post-operative morbidity and mortality and sometimes the need for reoperation. Objectives: To determine impact and accuracy of perioperative TEE in assessment of patients undergoing TOF total repair. Methods: The study included 50 patients with TOF referred to Cardiothoracic Surgery Department Ain Shams University Hospitals for total repair. Each patient was subjected to history taking, clinical examination, routine preoperative investigations, preoperative TTE, perioperative TEE and Post recovery TTE. Results: Our study population included 45 (90%) pediatric patients and 5(10%) adults. Youngest was 1year 2 months old and oldest was 25 years old. Their weight ranged from 8 to 85 Kg. TEE was feasible in 49 cases (98%) while the pediatric probe failed to be introduced in only one patient. TEE was able to visualize LM coronary artery in 96% of cases, and visualized RCA in 70% of cases. TEE newly detected a case with separate ostea of LAD and LCX. Only one patient developed non sustained runs of SVT There was significant difference between TEE and TTE as regard IAS visualization (P value <0.0001). All our patients had only subaortic VSD except 4 patients. Three had doubly commited subarterial VSD seen by both TTE and TEE, while one patient had subaortic VSD with inlet extension, which was visualized only by TEE. Postoperative TEE detected residual small VSD in 29 cases of whom 14 cases had the VSD closed spontaneously by the time of TTE. TEE missed small residual VSD in 3 cases. In one case postoperative TEE showed a serpignous mid muscular VSD which was not detected preoperatively. There was moderate agreement between TEE and TTE regarding overriding of aortic valve (weighted Kappa 0.580). There was strong ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1110-2608 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S1110260813001567; https://doaj.org/toc/1110-2608; https://doaj.org/article/377f1f8d4d7144b8880fad58818e96f5 |
| DOI: | 10.1016/j.ehj.2013.12.037 |
| الاتاحة: | https://doi.org/10.1016/j.ehj.2013.12.037 https://doaj.org/article/377f1f8d4d7144b8880fad58818e96f5 |
| رقم الانضمام: | edsbas.F339E730 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 11102608 |
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| DOI: | 10.1016/j.ehj.2013.12.037 |