Live three-dimensional paediatric intraoperative epicardial echocardiography as a guide to surgical repair of atrioventricular valves

Deborah B. Rawlins, Conal Austin, John M. Simpson*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Citations (Scopus)

Abstract

Real-time three dimensional echocardiography is increasingly used for imaging patients with congenital cardiac malformations. One of the limitations of a transthoracic approach is that intervening structures can impact on the quality of the images obtained. We hypothesised that, during surgery, epicardial three-dimensional echocardiography would provide images of high quality. We report our findings in eight children or young adults, with weights ranging from 2.8 to 70 kilograms, in whom we used this approach. In all cases, we obtained images of good quality, which could be analysed rapidly in the operating room. Of the eight cases, seven had echocardiographic findings which matched exactly the surgical findings. The remaining child had been diagnosed echocardiographically with a cleft in the aortic leaflet of the mitral valve, but was found at surgery to have a double orifice in the valve.

Original languageEnglish
Pages (from-to)34-39
Number of pages6
JournalCardiology in the Young
Volume16
Issue number1
DOIs
Publication statusPublished - Feb 2006
Externally publishedYes

Keywords

  • Atrioventricular septal defect
  • Congenital heart disease
  • Mitral valve
  • Supramitral ring
  • Ultrasound

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