Transesophageal echocardiography for surgical therapy of pediatric atrioventricular valve diseases
10.13929/j.issn.1003-3289.2024.07.006
- VernacularTitle:经食管超声心动图用于手术治疗儿童房室瓣疾病
- Author:
Jingjing QIAN
1
,
2
,
3
;
Jingjing YE
;
Jin YU
;
Lei ZHAO
;
Xingpeng FU
;
Baofu ZHANG
;
Yuting CHENG
;
Han WANG
Author Information
1. 浙江大学医学院附属儿童医院超声科,浙江杭州 310052
2. 浙江大学医学院附属儿童医院心脏中心,浙江杭州 310052
3. 浙江大学医学院附属儿童医院国家儿童健康与疾病临床医学研究中心,浙江杭州 310052
- Keywords:
child;
heart valve diseases;
echocardiography,transesophageal
- From:
Chinese Journal of Medical Imaging Technology
2024;40(7):982-985
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of transesophageal echocardiography(TEE)for surgical therapy of pediatric atrioventricular valve diseases.Methods Data of 273 children with atrioventricular valve diseases who underwent surgical operation under extracorporeal circulation were retrospectively analyzed.Transthoracic echocardiography(TTE)was performed within 1 week before,while TEE was performed before and after surgical operation.Whether TTE diagnosis should be adjusted were evaluated according to findings of TEE,so were the effects of surgical treatments,and the ultrasonic diagnostic coincidence rate before operation were compared taken surgical findings as standards.Results TEE was successfully completed in all 273 children.The diagnostic coincidence rate of preoperative TTE was 83.88％(229/273).After adjustment or supplement according to TEE in 44 cases(44/273,16.12％),the ultrasonic diagnostic coincidence rate reached 100％(273/273),higher than that of preoperative TTE alone(P＜0.001).Residual shunt was found in 5 cases,while no obvious improvement of valvular regurgitation was noticed in 3 cases with post operative TEE,and after corresponding treatments,re-examination of TEE showed satisfactory efficacy in all the above cases.Conclusion TEE could be used to accurately diagnose pediatric atrioventricular valve diseases before and evaluate the efficacy after surgical treatments,having important clinical application value.
