Transesophageal Echocardiography in Aortopulmonary Communications
| Autor: | Tandaw E. Samdarshi, Rajat Sanyal, W. Robert Morrow, Edward V. Colvin, Hans Jain, Frederick Helmcke, Navin C. Nanda |
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| Rok vydání: | 1991 |
| Předmět: |
Male
congenital hereditary and neonatal diseases and abnormalities medicine.medical_specialty Anastomosis Aortopulmonary Septal Defect Aortopulmonary window Intraoperative Period Esophagus Internal medicine Preoperative Care medicine Humans Radiology Nuclear Medicine and imaging Child Postoperative Care business.industry Infant medicine.disease Truncus Arteriosus Persistent Echocardiography Child Preschool cardiovascular system Cardiology Female Radiology Cardiology and Cardiovascular Medicine business Shunt (electrical) |
| Zdroj: | Echocardiography. 8:383-395 |
| ISSN: | 1540-8175 0742-2822 |
| DOI: | 10.1111/j.1540-8175.1991.tb01205.x |
| Popis: | The assessment of congenital aortopulmonary communications by transthoracic echocardiography may be suboptimal, particularly postoperatively, due to limited acoustic windows. We performed intraoperative transesophageal echocardiograms in six patients with eight proven systemic-pulmonary communications. Diagnosis included truncus arteriosus (1), aortopulmonary window (1), Waterston anastomosis (3), central Gore-Tex shunt (1), and modified left Blalock-Taussig shunt (2). All communications were accurately demonstrated by transesophageal echocardiography (TEE). The transesophageal technique also provided an assessment of the size of the aortopulmonary communications and the proximal pulmonary arteries. In addition, the gradient across some of the communications could be accurately estimated utilizing the high pulse repetition frequency Doppler. On the other hand, only two of the seven aortopulmonary communications were detected by transthoracic echocardiography. Postoperatively, transesophageal imaging demonstrated unobstructed conduit in five of five patients who underwent conduit repair, as well as intact closure of aortopulmonary communications and concomitant closure of ventricular septal defects. (ECHOCARDIOGRAPHY, Volume 8, May 1991) |
| Databáze: | OpenAIRE |
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