A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool.

Autor: Awasthy N; Department of Pediatric Cardiology, Max Superspecialty Hospital, New Delhi, India., Girotra S; Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India., Dutta N; CTVS Surgeon, Narayana Superspeciality Hospital, Andul Road, Howrah, Kolkata, India., Azad S; Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India., Radhakrishnan S; Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India., Iyer KS; Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India.
Jazyk: angličtina
Zdroj: Annals of pediatric cardiology [Ann Pediatr Cardiol] 2021 Apr-Jun; Vol. 14 (2), pp. 192-200. Date of Electronic Publication: 2021 May 03.
DOI: 10.4103/apc.APC_90_20
Abstrakt: Intraoperative echocardiography is an integral component of the peri-operative management of pediatric heart disease. It confirms the adequacy of surgery, identifies residual lesions, and can provide useful hemodynamic data. It, therefore, helps to decide on the need for revision of repair and guides the postoperative management strategy. Intraoperative echocardiography is done with the use of either an epicardial probe or a transesophageal probe. Epicardial echocardiography is a simple, useful modality and has the ability to perform imaging in cases where transesophageal echocardiography cannot be easily performed, for example, in low birth weight babies. We attempt to describe in detail the technique of epicardial echocardiography and the various views that we have found useful for a complete postsurgical evaluation. The limitations of the technique are also discussed in detail.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2021 Annals of Pediatric Cardiology.)
Databáze: MEDLINE
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