Usefulness of biplane transesophageal echocardiography in neonates, infants and children with congenital heart disease

A study was performed to assess the feasibility, additional diagnostic value and potential applications of biplane transesophageal echocardiography in neonates, infants and children. One hundred thirty-two consecutive studies were attempted in 111 anesthetized children with congenital heart disease....

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Veröffentlicht in:The American journal of cardiology 1993-09, Vol.72 (9), p.699-706
Hauptverfasser: Lam, Jan, Neirotti, Rodolfo A., Lubbers, Wies J., Naeff, Mies S.J., Blom-Muilwijk, Connie M., Schuller, Jaap L., Macartney, Fergus J., Visser, Cees A.
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container_end_page 706
container_issue 9
container_start_page 699
container_title The American journal of cardiology
container_volume 72
creator Lam, Jan
Neirotti, Rodolfo A.
Lubbers, Wies J.
Naeff, Mies S.J.
Blom-Muilwijk, Connie M.
Schuller, Jaap L.
Macartney, Fergus J.
Visser, Cees A.
description A study was performed to assess the feasibility, additional diagnostic value and potential applications of biplane transesophageal echocardiography in neonates, infants and children. One hundred thirty-two consecutive studies were attempted in 111 anesthetized children with congenital heart disease. Longitudinal and transverse planes were compared using 3 methods: (1) separate 7 mm longitudinal and transverse pediatric transducers used sequentially; (2) an experimental 9 × 8 mm biplane pediatric transducer; and (3) a standard adult biplane transducer (12 × 9 or 13 × 9 mm). In all but 1 patient, a probe could be inserted. The longitudinal plane provided superior visualization of both the right and left ventricular outflow tracts, the interatrial septum, the main pulmonary artery, the ascending aorta and the right coronary artery. In 18 patients (16%), the longitudinal plane provided completely new diagnostic information that was not obtained with combined transthoracic and transverse plane transesophageal echocardiography. However, the transverse plane was mandatory for demonstration of the 4-chamber view, short-axis cross sections through the great arteries, the distal right pulmonary artery and bifurcation of the left coronary artery. The longitudinal plane is complementary to the transverse plane, but cannot substitute for it.
doi_str_mv 10.1016/0002-9149(93)90888-J
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Vascular system</topic><topic>Cardiovascular disease</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children &amp; youth</topic><topic>Congenital heart diseases. 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One hundred thirty-two consecutive studies were attempted in 111 anesthetized children with congenital heart disease. Longitudinal and transverse planes were compared using 3 methods: (1) separate 7 mm longitudinal and transverse pediatric transducers used sequentially; (2) an experimental 9 × 8 mm biplane pediatric transducer; and (3) a standard adult biplane transducer (12 × 9 or 13 × 9 mm). In all but 1 patient, a probe could be inserted. The longitudinal plane provided superior visualization of both the right and left ventricular outflow tracts, the interatrial septum, the main pulmonary artery, the ascending aorta and the right coronary artery. In 18 patients (16%), the longitudinal plane provided completely new diagnostic information that was not obtained with combined transthoracic and transverse plane transesophageal echocardiography. However, the transverse plane was mandatory for demonstration of the 4-chamber view, short-axis cross sections through the great arteries, the distal right pulmonary artery and bifurcation of the left coronary artery. The longitudinal plane is complementary to the transverse plane, but cannot substitute for it.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8249848</pmid><doi>10.1016/0002-9149(93)90888-J</doi><tpages>8</tpages></addata></record>
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subjects Adolescent
Aorta - diagnostic imaging
Babies
Biological and medical sciences
Body Weight
Cardiac Catheterization
Cardiology. Vascular system
Cardiovascular disease
Child
Child, Preschool
Children & youth
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Coronary Vessels - diagnostic imaging
Diagnosis, Differential
Echocardiography, Doppler
Echocardiography, Transesophageal - instrumentation
Echocardiography, Transesophageal - methods
Equipment Design
Feasibility Studies
Heart
Heart Atria - diagnostic imaging
Heart Defects, Congenital - diagnostic imaging
Heart Septum - diagnostic imaging
Heart Ventricles - diagnostic imaging
Humans
Infant
Infant, Newborn
Lungs
Medical sciences
Mitral Valve - diagnostic imaging
Monitoring, Intraoperative
Pulmonary Artery - diagnostic imaging
Pulmonary Veins - diagnostic imaging
Tricuspid Valve - diagnostic imaging
Ultrasonic imaging
Venae Cavae - diagnostic imaging
title Usefulness of biplane transesophageal echocardiography in neonates, infants and children with congenital heart disease
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