Transesophageal Echocardiography for Congenital Heart Disease

Transesophageal Echocardiography for Congenital Heart Disease
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经食管超声心动图治疗先天性心脏病

DOI:
--
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发表时间:
1991
期刊:
Echocardiography
影响因子:
--
通讯作者:
C. Kline
C. Kline
中科院分区:
--
文献类型:
--
作者:
D. Fyfe;C. Kline

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即使是最复杂的先天性心脏畸形,小儿体表超声心动图成像也能成功地确定解剖细节和多普勒血流模式。然而,在较大的儿童或成人中,成像通常是有限的。最近超声心动图的作用扩展是术中心外膜成像。然而,心外膜成像和术后成像具有明显的局限性。为了避免这些局限性,经食管超声心动图已越来越多地用于先天性心脏病的竞技场。最近发展的小尺寸胃镜探头允许经食管超声心动图评估儿童先天性心脏病,小到新生儿大小。随着对单个病变的详细研究报道,如果成像可以通过表面检查完成,那么在大多数儿童中,仅仅存在先天性心脏缺损并不是经食管超声心动图的指征。然而,经食管超声心动图可用于术中或术后评估该缺损,特别是当修复困难或已知与显著残留异常相关时。已经描述了水平和垂直成像平面换能器遇到的心脏结构,检查超声心动图的医生应该完全熟悉这些结构。(超声心动图,第8卷,1991年9月)
Surface echocardiographic imaging of small children is routinely successful in defining anatomical details and Doppler flow patterns with even the most complex congenital cardiac malformations. However, in larger children or adults, imaging is frequently limited. A recent expansion of the role of echocardiography is intraoperative epicardial imaging. Epicardial and postoperative imaging, however, have significant limitations. To avoid some of these limitations, transesophageal echocardiography has increasingly been used in the arena of congenital heart disease. The more recent development of small sized gastroscopic probes has allowed transesophageal echocardiographic assessment of congenital heart disease in children down to newborn size. As detailed studies of individual lesions are reported, it has become clear that the mere presence of a congenital heart defect is not an indication for transesophageal echocardiography in most children if imaging can be accomplished by surface examination. However, transesophageal echocardiography may be indicated for the intraoperative or postoperative assessment of that defect, particularly when repair has been difficult or is known to be associated with significant residual abnormalities. Cardiac structures encountered with horizontal and vertical imaging plane transducers have been described and should be completely familiar to the examining echocardiographer. (ECHOCARDIOGRAPHY, Volume 8, September 1991)
经食管超声心动图和多普勒彩色血流成像在接受心脏瓣膜手术的患者中的应用。
DOI: 10.1016/s0735-1097(10)80064-6
发表时间: 1990
影响因子: 24
作者:
Sheikh,KH;deBruijn,NP;Rankin,JS;Clements,FM;Stanley,T;Wolfe,WG;Kisslo,J
通讯作者: Kisslo,J
术中常规使用心外膜超声心动图和多普勒彩色血流成像来指导和评估先天性心脏病病变的修复情况。
DOI: --
发表时间: 1990
期刊: The Journal of thoracic and cardiovascular surgery
影响因子: --
作者:
Ungerleider,RM;Greeley,WJ;Sheikh,KH;Philips,J;Pearce,FB;Kern,FH;Kisslo,JA
通讯作者: Kisslo,JA