PMID: 8604930Dec 1, 1995Paper

Intraoperative echocardiography during congenital heart operations: experience from 1,000 cases

The Annals of Thoracic Surgery
R M UngerleiderA R Bengur

Abstract

This article provides an overview of the application of intraoperative echocardiography during repair of congenital heart defects based on our experience with 1,000 patients. The patients in this study all underwent repair of a congenital heart defect between 1987 and 1994 at Duke University Medical Center. Echocardiography was performed on all patients in the operating room both before and after repair using epicardial or transesophageal imaging (or both). Hospital costs and outcome data were obtained for all patients. Overall, 44 patients (4.4%) underwent intraoperative revision of their repair based on echocardiographic findings. There was an initial learning phase during which 8.5% of repairs needed to be revised. With experience, the number of revisions fell to as low as 3% to 4%, but need for revision continued to occur throughout the series. Thirty-nine patients (88.6%) had a successful revision. It was not possible for the surgeon to predict the need for a revision based on his confidence in the repair: in 2.6% of patients thought by the surgeon to have a good repair, intraoperative echocardiography revealed the need for operative revision. The average cost for patients who return to the operating room during their hosp...Continue Reading

References

Oct 1, 1992·The Annals of Thoracic Surgery·R M UngerleiderJ A Kisslo
Jun 1, 1991·The American Journal of Cardiology·Y H HsuR G Williams
Jul 1, 1993·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J G StevensonE A Rittenhouse
Jul 1, 1993·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J PapagiannisR M Ungerleider

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Citations

Nov 7, 2003·The Annals of Thoracic Surgery·Lisa M KohrConstantine Mavroudis
Jul 31, 1998·Seminars in Roentgenology·G G Hartnell, M Notarianni
Sep 21, 2006·Cardiology in the Young·Christian BalmerOliver Stümper
Jul 16, 2009·Annals of Cardiac Anaesthesia·Rajnish GargKanchi Muralidhar
Nov 4, 1998·Seminars in Thoracic and Cardiovascular Surgery·A R BengurR M Ungerleider
Apr 8, 2016·Journal of the Saudi Heart Association·Abdulraouf M Z JijehRiyadh M Abu-Sulaiman
Jul 20, 1999·Current Problems in Pediatrics·C K PhoonM Rutkowski
Oct 20, 1999·Journal of Cardiothoracic and Vascular Anesthesia·F X McGowan, P C Laussen
Nov 26, 2002·The Journal of Thoracic and Cardiovascular Surgery·Guy R RandolphPatrick W O'Leary
Jun 6, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Pierre-Guy Chassot, Dominique A Bettex
Sep 29, 1999·American Heart Journal·R M Ungerleider
May 16, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Irsa ShoiabShelby Kutty
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·James Jaggers, Ross M. Ungerleider
Mar 25, 2015·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Benjamin J TooleRitu Sachdeva
Nov 7, 1998·Anesthesia and Analgesia·I A Muhiudeen RussellN H Silverman
Aug 12, 2016·Turkish Journal of Medical Sciences·Pelin AyyildizYakup Ergül

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