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Predictive value of intraoperative transesophageal echocardiography in complete atrioventricular septal defect

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dc.contributor.authorKim, Hyun Koo-
dc.contributor.authorKim, Woong-Han-
dc.contributor.authorHwang, Sung Wook-
dc.contributor.authorLee, Jae Young-
dc.contributor.authorSong, Jin Young-
dc.contributor.authorKim, Soo-Jin-
dc.contributor.authorJang, Ki Young-
dc.date.accessioned2009-11-26T04:25:46Z-
dc.date.available2009-11-26T04:25:46Z-
dc.date.issued2005-06-25-
dc.identifier.citationAnn Thorac Surg. 2005 Jul;80(1):56-9.en
dc.identifier.issn1552-6259 (Electronic)-
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15975339-
dc.identifier.urihttps://hdl.handle.net/10371/15798-
dc.description.abstractBACKGROUND: 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.isoenen
dc.publisherElsevieren
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectCardiac Surgical Proceduresen
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subject*Echocardiographyen
dc.subject*Echocardiography, Transesophagealen
dc.subjectFemaleen
dc.subjectHeart Septal Defects/complications/*surgeryen
dc.subjectHeart Valve Diseases/complications/surgery/ultrasonographyen
dc.subjectHumansen
dc.subjectInfanten
dc.subjectIntraoperative Perioden
dc.subjectMaleen
dc.subjectPostoperative Perioden
dc.subjectPredictive Value of Testsen
dc.subjectRetrospective Studiesen
dc.subjectTreatment Outcomeen
dc.titlePredictive value of intraoperative transesophageal echocardiography in complete atrioventricular septal defecten
dc.typeArticleen
dc.contributor.AlternativeAuthor김현구-
dc.contributor.AlternativeAuthor김웅한-
dc.contributor.AlternativeAuthor황성욱-
dc.contributor.AlternativeAuthor이재영-
dc.contributor.AlternativeAuthor송진영-
dc.contributor.AlternativeAuthor김수진-
dc.contributor.AlternativeAuthor장기영-
dc.identifier.doi10.1016/j.athoracsur.2005.01.060-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Thoracic Surgery (흉부외과학전공)Journal Papers (저널논문_흉부외과학전공)
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