Transthoracic Echocardiography in the Preoperative Assessment of Newborn Coarctation: Limiting Risks Associated with Advanced Imaging Techniques.
| Autor: | Benjamin CL; From the Center for Heart Care, Phoenix Children's Hospital, Phoenix, Ariz., Ellsworth EG; From the Center for Heart Care, Phoenix Children's Hospital, Phoenix, Ariz., Bryant R 3rd; From the Center for Heart Care, Phoenix Children's Hospital, Phoenix, Ariz., Bhat DP; From the Center for Heart Care, Phoenix Children's Hospital, Phoenix, Ariz. |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric quality & safety [Pediatr Qual Saf] 2023 Sep 28; Vol. 8 (5), pp. e682. Date of Electronic Publication: 2023 Sep 28 (Print Publication: 2023). |
| DOI: | 10.1097/pq9.0000000000000682 |
| Abstrakt: | A newborn male child with prenatally identified aortic arch hypoplasia presented to our facility for cardiac management. He had been started on prostaglandins at the delivery facility and was subsequently placed on a high-flow nasal cannula due to associated apnea. On the day of life three, the patient underwent cardiac computed tomography scan for delineation of his anatomy. The patient remained intubated after his imaging study in anticipation of surgical intervention, which took place at the age of 5 days. The patient required a peritoneal dialysis catheter placement 2 days after his procedure due to oliguria. He progressed into renal failure requiring continuous renal replacement therapy. This patient was subsequently discussed at our departmental morbidity and mortality conference. The short time frame between contrast administration for the computed tomography and surgical intervention was thought to have contributed to his renal failure. We discussed the adequacy of transverse aortic arch imaging by echocardiogram and the utility of advanced imaging in the fragile neonatal period. This discussion resulted in our department asking, "Is transthoracic echocardiography accurate when diagnosing and characterizing aortic coarctation at our institution? Are advanced imaging studies necessary in instances of simple coarctation?" Competing Interests: The authors have no financial interest to declare in relation to the content of this article. (Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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