October 1, 1989Annals of SurgeryOpen Access

The Use of Intraoperative Echo with Doppler Color Flow Imaging to Predict Outcome After Repair of Congenital Cardiac Defects

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Why the study?

Does intraoperative echo with Doppler color flow imaging predict clinical outcomes in patients undergoing surgical repair of congenital cardiac defects?

Population

273 patients undergoing surgical repair of a variety of congenital cardiac defects.

Comparison

Intraoperative echocardiography with Doppler… vs Patients with echo-discernible defects left…

Design

Cohort

Authors

RURoss M. UngerleiderPediatric / Congenital Cardiology WGWilliam J. GreeleyDuke University KSKhalid H. SheikhThe University of Texas at Austin

Discussion

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Implication

Residual defects on intraoperative echo were associated with higher reoperation and mortality; leaves open whether immediate correction improves outcomes in congenital cardiac repair.

Structured PICO

Does intraoperative echo with Doppler color flow imaging predict clinical outcomes in patients undergoing surgical repair of congenital cardiac defects?

Population

273 patients undergoing surgical repair of a variety of congenital cardiac defects (age range 1 to 53 years, mean 5.3 years, smallest patient 1.8 kg).

Intervention

Intraoperative echocardiography with Doppler color flow imaging (echo-DCFI) to evaluate the exactness of operative repair.

Comparator

Patients with echo-discernible defects left unrepaired versus those whose problems were corrected before leaving the operating room; patients with versus without alteration of ventricular function.

Outcome

Rate of reoperation, early death, and long-term acceptable outcome.hard clinical

Intraoperative echo with Doppler color flow imaging effectively identifies residual defects and ventricular dysfunction, which strongly predict the need for reoperation and early mortality after congenital cardiac defect repair.

Cite This Study

Ungerleider et al. (1989) studied this question.

synapsesocial.com/papers/6a923fc23eb7c78f2e41dead https://doi.org/10.1097/00000658-198910000-00013

Topics

Congenital heart disease adults

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Implication

Residual defects on intraoperative echo were associated with higher reoperation and mortality; leaves open whether immediate correction improves outcomes in congenital cardiac repair.

The Use of Intraoperative Echo with Doppler Color Flow Imaging to Predict Outcome After Repair of Congenital Cardiac Defects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Topics

The Use of Intraoperative Echo with Doppler Color Flow Imaging to Predict Outcome After Repair of Congenital Cardiac Defects

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Topics

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