Usefulness of perioperative transoesophageal echocardiography during paediatric cardiac surgery - 21/03/24
, Khaled Hadeed a, Aitor Guitarte Vidaurre a, Rémi Vincent a, Yves Dulac a, Gérald Chausseray b, Davide Felice Calvaruso c, Philippe Acar a, 1, Clément Karsenty a, d
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Graphical abstract |
Highlights |
• | Intraoperative echocardiography is a useful tool in paediatric cardiac surgery. |
• | Intraoperative echocardiography is a safe tool for assessing residual lesions. |
• | Residual lesions can be detected and described. |
• | This permits some reinterventions during surgery. |
Abstract |
Background |
Paediatric transoesophageal echocardiography probes allow perioperative evaluation during paediatric congenital heart disease surgery.
Aim |
To assess the usefulness of perioperative transoesophageal echocardiography in evaluating the severity of residual lesions, based on the type of congenital heart disease repaired in paediatric patients.
Methods |
A retrospective analysis was conducted on paediatric patients who underwent open-heart surgery at our tertiary centre over a four-year period. Perioperative transoesophageal echocardiography studies were performed, and residual lesions were classified as mild, moderate or severe.
Results |
Overall, 323 procedures involving 310 patients with a median age of 13.8 (0.07–214.4) months and a median weight of 8.2 (2–96) kg at intervention were enrolled in the study. Twenty-one (6.5%) residual lesions led to immediate reintervention: severe right ventricular outflow tract obstruction (n=12); severe aortic regurgitation (n=3); superior vena cava stenosis (n=2); moderate residual ventricular septal defect (n=2); severe mitral regurgitation (n=1); and severe mitral stenosis (n=1). Three (0.9%) neonates had ventilation difficulties caused by the transoesophageal echocardiography probe having to be removed, but experienced no sequelae.
Conclusion |
Perioperative transoesophageal echocardiography is a safe procedure, providing information on severe residual lesions, leading to the immediate revision of several paediatric congenital heart disease cases.
El texto completo de este artículo está disponible en PDF.Keywords : 3D echocardiography, Transoesophageal echocardiography, Congenital heart disease, Paediatric cardiac surgery
Esquema
| ☆ | Tweet: A retrospective analysis highlights the role of advanced imaging in enhancing outcomes for young hearts. Detecting and addressing severe residual lesions in real-time, led to immediate intervention in 6.5% of cases. #Pediatrics #Cardiology #CHD. |
Vol 117 - N° 3
P. 177-185 - mars 2024 Regresar al número
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Bienvenido a EM-consulte, la referencia de los profesionales de la salud.