Document Detail

The value of transesophageal echocardiography in children with congenital heart disease.
MedLine Citation:
PMID:  2036229     Owner:  NLM     Status:  MEDLINE    
With the use of dedicated pediatric single-plane probes, transesophageal echocardiography was performed prospectively in 102 children to determine the potential value of this new technique in the diagnosis (40 patients) and the follow-up of congenital heart disease (29 patients) and as a monitoring technique during the perioperative period or interventional cardiac catheterization (33 patients). The findings were correlated with precordial studies (102 patients), cardiac catheterization (82 patients), epicardial ultrasound findings (18 patients), or surgical inspection (34 patients). The age at investigation ranged from 2.5 months to 14.9 years (mean age, 5.2 years); weight ranged from 3.7 to 52 kg (mean weight, 19.1 kg). Additional information was obtained in 49 patients (48.4%) and was relevant for patient management in 21 patients (20.6%). Major areas of improved diagnostic insight included the following: (1) systemic and pulmonary venous return, (2) atrial morphology, (3) atrioventricular junction abnormalities, (4) left ventricular outflow tract disease, (5) atrial baffle function, and (6) the Fontan circulation. Inherent limitations were as follows: (1) the semiinvasive character of the procedure, (2) the need for heavy sedation or general anesthesia, and (3) the limited imaging planes provided. Transesophageal echocardiography in children can provide important additional diagnostic information on a wide spectrum of congenital heart lesions. The technique would appear to be a highly valuable adjunct to the diagnostic armentarium of the pediatric cardiologist.
O Stümper; R Kaulitz; N J Elzenga; N Bom; J R Roelandt; J Hess; G R Sutherland
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography     Volume:  4     ISSN:  0894-7317     ISO Abbreviation:  J Am Soc Echocardiogr     Publication Date:    1991 Mar-Apr
Date Detail:
Created Date:  1991-07-03     Completed Date:  1991-07-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8801388     Medline TA:  J Am Soc Echocardiogr     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  164-76     Citation Subset:  IM    
Thoraxcenter, Academic Hospital Rotterdam Dijkzigt, The Netherlands.
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MeSH Terms
Cardiac Output / physiology
Child, Preschool
Echocardiography / instrumentation,  methods*
Equipment Design
Follow-Up Studies
Heart Atria / ultrasonography
Heart Catheterization
Heart Defects, Congenital / physiopathology,  surgery,  ultrasonography*
Heart Ventricles / ultrasonography
Intraoperative Care
Monitoring, Physiologic
Prospective Studies
Pulmonary Veins / ultrasonography
Tricuspid Valve / ultrasonography
Vena Cava, Superior / ultrasonography
Ventricular Function / physiology

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

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