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Predictive value of intraoperative transesophageal echocardiography in complete atrioventricular septal defect
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Kim, Hyun Koo | - |
dc.contributor.author | Kim, Woong-Han | - |
dc.contributor.author | Hwang, Sung Wook | - |
dc.contributor.author | Lee, Jae Young | - |
dc.contributor.author | Song, Jin Young | - |
dc.contributor.author | Kim, Soo-Jin | - |
dc.contributor.author | Jang, Ki Young | - |
dc.date.accessioned | 2009-11-26T04:25:46Z | - |
dc.date.available | 2009-11-26T04:25:46Z | - |
dc.date.issued | 2005-06-25 | - |
dc.identifier.citation | Ann Thorac Surg. 2005 Jul;80(1):56-9. | en |
dc.identifier.issn | 1552-6259 (Electronic) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15975339 | - |
dc.identifier.uri | https://hdl.handle.net/10371/15798 | - |
dc.description.abstract | BACKGROUND: Intraoperative transesophageal echocardiography and follow-up transthoracic echocardiography have been useful in assessing cardiac function in complete atrioventricular septal defects. However, it has been suggested that a discrepancy exists between intraoperative and postoperative findings, and that intraoperative findings cannot reliably predict long-term results. This study aims to determine whether this discrepancy exists and to assess whether it is possible to predict follow-up results using intraoperative transesophageal echocardiography. METHODS: A retrospective analysis was made in 35 patients who underwent biventricular repair by one surgeon between November 1997 and January 2004. All patients received intraoperative transesophageal echocardiography and follow-up transthoracic echocardiography at 19.1 +/- 18.02 months (range, 7 days to 5 years; median, 15.1 months). RESULTS: In left-sided atrioventricular valve regurgitation, 34.3% (12 of 35) of patients showed discrepancy during follow-up, and 28.6% (10 of 35) showed progression of regurgitation (from grade I to II). In right-sided atrioventricular valve, 11.4% (4 of 35) of patients showed discrepancy, 9.6% (3 of 35) showed progression of regurgitation (from grade I to II). CONCLUSIONS: In complete atrioventricular septal defects, intraoperative transesophageal echocardiography did not show the same findings as that of follow-up transthoracic echocardiography in some cases. However, this discrepancy is not so great as to require reoperation in early to midterm follow-up. Therefore, intraoperative transesophageal echocardiography may be used as tool to predict durability of surgical results and to decrease the incidence of reoperation in complete atrioventricular septal defects. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Adolescent | en |
dc.subject | Adult | en |
dc.subject | Cardiac Surgical Procedures | en |
dc.subject | Child | en |
dc.subject | Child, Preschool | en |
dc.subject | Female | en |
dc.subject | Heart Septal Defects/complications/*surgery | en |
dc.subject | Heart Valve Diseases/complications/surgery/ultrasonography | en |
dc.subject | Humans | en |
dc.subject | Infant | en |
dc.subject | Intraoperative Period | en |
dc.subject | Male | en |
dc.subject | Postoperative Period | en |
dc.subject | Predictive Value of Tests | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Outcome | en |
dc.subject | Echocardiography | - |
dc.subject | Echocardiography, Transesophageal | - |
dc.title | Predictive value of intraoperative transesophageal echocardiography in complete atrioventricular septal defect | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 김현구 | - |
dc.contributor.AlternativeAuthor | 김웅한 | - |
dc.contributor.AlternativeAuthor | 황성욱 | - |
dc.contributor.AlternativeAuthor | 이재영 | - |
dc.contributor.AlternativeAuthor | 송진영 | - |
dc.contributor.AlternativeAuthor | 김수진 | - |
dc.contributor.AlternativeAuthor | 장기영 | - |
dc.identifier.doi | 10.1016/j.athoracsur.2005.01.060 | - |
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