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A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool


1 Department of Pediatric Cardiology, Max Superspecialty Hospital, New Delhi, India
2 Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India
3 CTVS Surgeon, Narayana Superspeciality Hospital, Andul Road, Howrah, Kolkata, India

Correspondence Address:
Dr. Neeraj Awasthy
Department of Pediatric and Congenital Heart Disease, Max Hospital, Saket, New Delhi - 110 017
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_90_20

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Year : 2021  |  Volume : 14  |  Issue : 2  |  Page : 192-200

 

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Intraoperative echocardiography is an integral component of the peri-operative management of pediatric heart disease. It confirms the adequacy of surgery, identifies residual lesions, and can provide useful hemodynamic data. It, therefore, helps to decide on the need for revision of repair and guides the postoperative management strategy. Intraoperative echocardiography is done with the use of either an epicardial probe or a transesophageal probe. Epicardial echocardiography is a simple, useful modality and has the ability to perform imaging in cases where transesophageal echocardiography cannot be easily performed, for example, in low birth weight babies. We attempt to describe in detail the technique of epicardial echocardiography and the various views that we have found useful for a complete postsurgical evaluation. The limitations of the technique are also discussed in detail.






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1 Department of Pediatric Cardiology, Max Superspecialty Hospital, New Delhi, India
2 Department of Pediatric and Congenital Heart Sciences, Fortis Escorts Heart Institute, New Delhi, India
3 CTVS Surgeon, Narayana Superspeciality Hospital, Andul Road, Howrah, Kolkata, India

Correspondence Address:
Dr. Neeraj Awasthy
Department of Pediatric and Congenital Heart Disease, Max Hospital, Saket, New Delhi - 110 017
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_90_20

Rights and Permissions

Intraoperative echocardiography is an integral component of the peri-operative management of pediatric heart disease. It confirms the adequacy of surgery, identifies residual lesions, and can provide useful hemodynamic data. It, therefore, helps to decide on the need for revision of repair and guides the postoperative management strategy. Intraoperative echocardiography is done with the use of either an epicardial probe or a transesophageal probe. Epicardial echocardiography is a simple, useful modality and has the ability to perform imaging in cases where transesophageal echocardiography cannot be easily performed, for example, in low birth weight babies. We attempt to describe in detail the technique of epicardial echocardiography and the various views that we have found useful for a complete postsurgical evaluation. The limitations of the technique are also discussed in detail.






[FULL TEXT] [PDF]*


        
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