Intraoperative Echocardiography for Evaluation of Congenital Heart Defects in Infants and Children
Why the study?
Does intraoperative transesophageal echocardiography accurately evaluate congenital heart defects in infants and children compared to epicardial and precordial echocardiography?
Population
90 infants and children undergoing surgical repair of congenital heart lesions, age 4 days to 21 years…
Comparison
Intraoperative transesophageal echocardiography vs Intraoperative epicardial echocardiography and…
Design
Cohort
Authors
Discussion
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Member takes
Implication
Supports TEE feasibility in pediatric congenital heart surgery; leaves open accuracy comparisons versus epicardial imaging.
Structured PICO
Does intraoperative transesophageal echocardiography accurately evaluate congenital heart defects in infants and children compared to epicardial and precordial echocardiography?
P
Population
90 infants and children undergoing surgical repair of congenital heart lesions, age 4 days to 21 years (mean 4.1 years), weight 3 to 68 kg (mean 15.4 kg).
I
Intervention
Intraoperative transesophageal echocardiography (TEE) (prebypass and postbypass)
C
Comparator
Intraoperative epicardial echocardiography and pre- and postoperative precordial echocardiography
O
Outcome
Accuracy, utility, and limitations of intraoperative TEE (image quality, diagnostic confirmation/correction)surrogate
Intraoperative TEE is a highly feasible and accurate imaging modality for evaluating most congenital heart defects in children, though it has limitations in visualizing the right ventricular outflow tract.
Cite This Study
Muhiudeen et al. (1992) studied this question.