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Live three-dimensional paediatric intraoperative epicardial echocardiography as a guide to surgical repair of atrioventricular valves

Published online by Cambridge University Press:  03 February 2006

Deborah B. Rawlins ,
Conal Austin  and
John M. Simpson
Deborah B. Rawlins
Affiliation:
Department of Congenital Heart Disease, Guy's Hospital, London, United Kingdom
Conal Austin
Affiliation:
Department of Cardiothoracic Survery, Guy's Hospital, London, United Kingdom
John M. Simpson
Affiliation:
Department of Congenital Heart Disease, Guy's Hospital, London, United Kingdom
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Abstract

Real-time three dimensional echocardiography is increasingly used for imaging patients with congenital cardiac malformations. One of the limitations of a transthoracic approach is that intervening structures can impact on the quality of the images obtained. We hypothesised that, during surgery, epicardial three-dimensional echocardiography would provide images of high quality. We report our findings in eight children or young adults, with weights ranging from 2.8 to 70 kilograms, in whom we used this approach. In all cases, we obtained images of good quality, which could be analysed rapidly in the operating room. Of the eight cases, seven had echocardiographic findings which matched exactly the surgical findings. The remaining child had been diagnosed echocardiographically with a cleft in the aortic leaflet of the mitral valve, but was found at surgery to have a double orifice in the valve.

Keywords

Congenital heart diseaseultrasoundmitral valveatrioventricular septal defectsupramitral ring
Type
Original Article
Information
Cardiology in the Young , Volume 16 , Issue 1 , January 2006 , pp. 34 - 39
Copyright
© 2006 Cambridge University Press

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