The role of intraoperative epicardial echocardiography in pediatric cardiac surgery

dc.authoridhttps://orcid.org/0000-0002-1762-3269en_US
dc.authoridhttps://orcid.org/0000-0002-1356-0635en_US
dc.contributor.authorÖztürk, Erkut
dc.contributor.authorCansaran Tanıdır, İbrahim
dc.contributor.authorAyyıldız, Pelin
dc.contributor.authorGökalp, Selman
dc.contributor.authorCandaş Kafalı, Hasan
dc.contributor.authorŞahin, Murat
dc.contributor.authorErgül, Yakup
dc.contributor.authorHaydin, Sertaç
dc.contributor.authorGüzeltaş, Alper
dc.date.accessioned2024-03-19T21:56:48Z
dc.date.available2024-03-19T21:56:48Z
dc.date.issued2018en_US
dc.departmentSağlık Hizmetleri Meslek Yüksekokuluen_US
dc.description.abstractAim: Our aim was to evaluate the findings and the role of intraoperative epicardial echocardiography (IEE) in the management of pediatric cardiac surgery patients. Methods: Patients evaluated with IEE between December 2015 and December 2017 were analyzed retrospectively. Demographic data, preoperative transthoracic echocardiography (TTE), and IEE reports were evaluated. Results: A total of 410 patients evaluated by IEE were included in the study. Of these, 52% were women, and 48% were men. The median age was 8.5 months (range: 1 month–7 years), and median body weight was 7.1 kg (range: 3.3–61 kg). The most common diagnoses were tetralogy of Fallot (TOF; n = 148), ventricular septal defect (VSD; n = 117), atrial septal defect (ASD; n = 57), and complete atrioventricular septal defect (AVSD; n = 48). There were minor residual lesions not requiring reestablishment of cardiopulmonary bypass (CPB) in 16.6% (n = 68), while major residual lesions requiring return to CPB were determined in 5.1% (n = 21). Major residual lesions were detected in 7 patients with TOF (4 severe right ventricular outflow tract obstructions, 2 pulmonary artery stenosis, 1 residual VSD shunt), 6 patients with VSD (hemodynamically significant residual shunts), and 5 patients with complete AVSD (3 left atrioventricular valve regurgitations, 1 right atrioventricular valve regurgitation, 1 left ventricular outflow tract obstruction). Transient bradycardia was observed in 5 patients. Conclusion: Intraoperative epicardial echocardiography provides good guidance during congenital heart surgery. IEE helps to clarify the surgical planning and decreases morbidity and mortality due to unnecessary invasive procedures, especially for pathologies involving the pulmonary artery and its branches, as well as for apical ventricular septal defects.en_US
dc.identifier.doi10.1111/echo.13874en_US
dc.identifier.endpage1004en_US
dc.identifier.issn0742-2822
dc.identifier.issn1540-8175
dc.identifier.issue7en_US
dc.identifier.pmid29577408en_US
dc.identifier.startpage999en_US
dc.identifier.urihttps://hdl.handle.net/11363/7229
dc.identifier.urihttps://doi.org/
dc.identifier.volume35en_US
dc.identifier.wosWOS:000437763900012en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorÖztürk, Erkut
dc.language.isoenen_US
dc.publisherWILEY, 111 RIVER ST, HOBOKEN 07030-5774, NJen_US
dc.relation.ispartofECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUESen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectcardiac surgeryen_US
dc.subjectcongenital heart diseaseen_US
dc.subjectpediatric echocardiographyen_US
dc.titleThe role of intraoperative epicardial echocardiography in pediatric cardiac surgeryen_US
dc.typeArticleen_US

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