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Intra-operative trans-esophageal echocardiography in congenital heart disease


Narayana Hrudayalaya Institute of Medical Sciences, Bangalore-560099, India

Correspondence Address:
Rajnish Garg
Narayana Hrudayalaya Institute of Medical Sciences, 258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore - 560 099
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.53436

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Year : 2009  |  Volume : 12  |  Issue : 2  |  Page : 173

 

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Intra-operative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for repair of congenital heart disease. In several studies,TEE has been shown to provide additional intra-cardiac anatomic information. Its ability to be used intra- operatively before and after cardiac repair makes it a unique tool. Before TEE was available for intra-operative use, significant residual abnormalities were frequently not detected. The result was often substantial post-operative morbidity and mortality and sometimes the need for re-operation. According to practice guidelines established by the Society of Cardiovascular Anesthesiologists and the American Society of Anesthesiologists, there is strong evidence for the usefulness of TEE in surgery for congenital heart disease because it significantly improves the clinical outcome of these patients. Before surgical correction, TEE helps confirm diagnosis and spot any additional lesion, while after the surgical correction, it provides baseline parameters for comparison after the surgical correction.






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Narayana Hrudayalaya Institute of Medical Sciences, Bangalore-560099, India

Correspondence Address:
Rajnish Garg
Narayana Hrudayalaya Institute of Medical Sciences, 258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore - 560 099
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.53436

Rights and Permissions

Intra-operative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for repair of congenital heart disease. In several studies,TEE has been shown to provide additional intra-cardiac anatomic information. Its ability to be used intra- operatively before and after cardiac repair makes it a unique tool. Before TEE was available for intra-operative use, significant residual abnormalities were frequently not detected. The result was often substantial post-operative morbidity and mortality and sometimes the need for re-operation. According to practice guidelines established by the Society of Cardiovascular Anesthesiologists and the American Society of Anesthesiologists, there is strong evidence for the usefulness of TEE in surgery for congenital heart disease because it significantly improves the clinical outcome of these patients. Before surgical correction, TEE helps confirm diagnosis and spot any additional lesion, while after the surgical correction, it provides baseline parameters for comparison after the surgical correction.






[FULL TEXT] [PDF]*


        
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