Application of transesophageal echocardiography in perioperative period of pediatric patients with congenital heart disease
10.3760/cma.j.issn.1001-4497.2013.11.003
- VernacularTitle:经食管超声心动图在先天性心脏病患儿围手术期中的应用
- Author:
Zhongming CAO
;
Sheng WANG
;
Jiexian LIANG
;
Qian LEI
;
Yiqun DING
;
Jimei CHEN
;
Jian ZHUANG
- Publication Type:Journal Article
- Keywords:
Echocardiography,transesophageal;
Heart defects,congenital;
Cardiac surgical procedures;
Child
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;29(11):649-652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the role of transesophageal echocardiography (TEE) in perioperative period of pediatric patients with congenital heart disease (CHD).Methods From July 2011 to December 2012,TEE was used in 393 pediatric patients(≤ 14 years) with congenital heart disease in perioperative period.We make a retrospective review with the clinical data of these cases.Results Operative schemes or therapeutic schedules of 60 patients(15.3％) were altered according to TEE.By preoperative TEE,the diagnosis of transthoracic echocardiography (TTE) of 4 cases(1.0％) were amended,4 cases (1.0％) were complemented,and 4 cases (1.0％) got the auxiliary diagnosis,among which operative schemes of 11 cases (2.8％)were altered.During the operate,29 cases(7.4％) found residual problems,11 cases(2.8％) got the auxiliary diagnosis.By postoperative TEE,7 cases(1.8％) found residual problems,1 case(0.3％) got the auxiliary diagnosis.Complications occurred in 9 cases(2.3％) of the 393 patients.Oral and pharyngeal mucous membrane bleeding occurred in 7 cases (1.8％),inadvertent tracheal extubation in 2 cases(0.5％).Conclusion TEE plays an important role in confirming preoperative diagnoses,formulating surgical plans,evaluating immediate operative results,identifying patients with residual defects and guiding the therapeutic schedule in perioperative period of pediatric patients with congenital heart disease.
