Document Detail


Usefulness of biplane transesophageal echocardiography in neonates, infants and children with congenital heart disease.
MedLine Citation:
PMID:  8249848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 x 8 mm biplane pediatric transducer; and (3) a standard adult biplane transducer (12 x 9 or 13 x 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.
Authors:
J Lam; R A Neirotti; W J Lubbers; M S Naeff; C M Blom-Muilwijk; J L Schuller; F J Macartney; C A Visser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  72     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1993 Sep 
Date Detail:
Created Date:  1994-01-06     Completed Date:  1994-01-06     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  699-706     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatric Cardiology, Academic Medical Center, Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aorta / ultrasonography
Body Weight
Child
Child, Preschool
Coronary Vessels / ultrasonography
Diagnosis, Differential
Echocardiography, Doppler
Echocardiography, Transesophageal* / instrumentation,  methods
Equipment Design
Feasibility Studies
Heart Atria / ultrasonography
Heart Catheterization
Heart Defects, Congenital / ultrasonography*
Heart Septum / ultrasonography
Heart Ventricles / ultrasonography
Humans
Infant
Infant, Newborn
Mitral Valve / ultrasonography
Monitoring, Intraoperative
Pulmonary Artery / ultrasonography
Pulmonary Veins / ultrasonography
Tricuspid Valve / ultrasonography
Venae Cavae / ultrasonography
Comments/Corrections
Erratum In:
Am J Cardiol 1994 Mar 15;73(8):625

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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