Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases.

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Research Abstract Details 

Research Abstract Table of Contents

Jump to the:

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Abstract Text:

S K Kaushal,K S Dagar,A Singh,K Kumar,S Radhakrishnan,S Girotra,S Shrivastava,K S Iyer,

Utility of intraoperative echocardiography (IOE) in perioperative management of congenital heart disease has been reported in literature. However, its consistent use as a monitoring tool has not yet been reported from our country. The aim of this study was to evaluate the role of routine use of IOE for intraoperative assessment of surgical repairs in terms of residual shunt, residual gradient, valvular insufficiency and ventricular function. Three hundred consecutive patients above 3 Kg body weight were included in this study. In 152 patients epicardial and in 148 patients transoesophageal echocardiography (TEE) was performed intraoperatively. Age ranged from 4 months to 52 years (median 5.8 yrs) and body weight from 3 Kg to 62 Kg (Median 12 Kg). IOE Doppler and Doppler colour flow imaging studies were performed before cardiopulmonary bypass (CPB) whenever feasible and after CPB in all patients. Pre-bypass examination yielded additional information in 17 (5.6%) patients. In 9 (3%) such patients it had an impact on surgery. In post CPB IOE studies, surgery was found to be 'perfect' in 210 (70%) patients and 'acceptable' residual defects in 70 (23.3%) patients. In 20 (6.6%) cases post CPB IOE found surgical repair 'unacceptable'. Ten of these patients required immediate surgical revision with excellent outcome, thus saving them from late reoperation or postoperative complications. No short term complications were encountered relating to the procedure. We conclude that intraoperative echocardiography is an inexpensive, accurate, valuable and safe addition to the perioperative care of patients and should be mandatory during all corrective surgical procedures for congenital heart disease. It is especially applicable in our country where the costs of reoperation for residual defects are prohibitive.

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Publishing Authors By Initials

SK Kaushal,KS Dagar,A Singh,K Kumar,S Radhakrishnan,S Girotra,S Shrivastava,KS Iyer,

For similar abstracts research abstracts see: abstracts research

PUBMED ID PMID:

MEDLINE DATE:

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Annals of cardiac anaesthesia

VOLUME: 1

Page Numbers: 36-45

Journal Abbreviation:

ISSN: 0971-9784

DAY: 10

MONTH: Jan

YEAR: 1998

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Information

Number of References:

LANGUAGE: eng

NlmUniqueID: 9815987

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Keywords Mesh Terms:

KEYWORDS:

MESH TERMS:

Chemical & Substance for Abstract: Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases. Information

Substance Name:

Registry Number:

Grant and Affiliation Information for Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases.

AFFILIATION: Department of Paediatric and Congenital Heart Surgery, Paediatric Cardiology and Anaesthesiology, Escorts Heart Institute and Research Centre, Okhla Road, New Delhi, India.

Country: India

AGENCY:

GRANT:

ACRONYM:

MEDLINETA: Ann Card Anaesth

REFSOURCE:

DATABASENAME:

ACCESSION NUMBER:

Number Hits: 0

Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases Related Publications

• Action of chlortetracycline on Micrococcus pyogenes var. aureus in nutrient and non-nutrient media.
• Allenyl azide cycloaddition chemistry. synthesis of pyrrolidine-containing bicycles and tricycles via the possible intermediacy of azatrimethylenemethane species.
• Anatomical location of the bifurcation of the sciatic nerve in the posterior thigh in infants and children: a formula derived from MRI imaging for nerve localization.
• Calculation of factorial moments of certain probability distributions.
• Carotid artery stenting: technical considerations.
• Chemotherapy of cestode infections.
• Coronary artery fistulas in pulmonary atresia and ventricular septal defect.
• Detection and Classification of Motor Nerve Late-wave Activity.
• Detection of early-stage ovarian cancer by FDG-PET-CT in a patient with BRCA2-positive breast cancer.
• Differentiation between structurally homologous Shiga 1 and Shiga 2 toxins by using synthetic glycoconjugates.
• Effect of Resveratrol on 17 -Estradiol Sulfation by Human Hepatic and Jejunal S9 and Recombinant Sulfotransferase 1E1.
• Embedded earrings in children.
• Genetic reconstruction of a functional transcriptional regulatory network.
• Genome-wide analysis of chromatin status using tiling microarrays.
• Giant ruptured sinus of Valsalva aneurysm: diagnosis on echocardiography.
• Hydrogen peroxide and metabolic coronary flow regulation.
• Identifying Chromosomal Targets of DNA-Binding Proteins by Sequence Tag Analysis of Genomic Enrichment (STAGE).
• Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases.
• Kruppel-like factor 5 modulates p53-independent apoptosis through Pim1 survival kinase in cancer cells.
• Mapping the chromosomal targets of STAT1 by Sequence Tag Analysis of Genomic Enrichment (STAGE).
• Migrating foreign body in the chest.
• Pedunculated hepatic hemangioma: CT findings.
• Predicting combinatorial binding of transcription factors to regulatory elements in the human genome by association rule mining.
• Procedure for chromatography involving sample solvent with higher elution strength than the mobile phase.
• Recurrent ovarian cancer: spectrum of imaging findings.
• Role of beta-adrenergic blocking drug propranolol in severe tetanus.
• Sensitivity of some bacteria to the tetracyclines when grown in association with other bacteria.
• Single-trial analysis of the auditory n100 component.
• The first and second moments of some probability distributions arising from points on a lattice and their application.
• The localization and activity of sphingosine kinase 1 are coordinately regulated with actin cytoskeletal dynamics in macrophages.