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

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


Neeraj Awasthy1, Sumir Girotra2, Nilanjan Dutta3, Sushil Azad2, Sitaraman Radhakrishnan2, Krishna Subramony Iyer2 
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

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.


How to cite this article:
Awasthy N, Girotra S, Dutta N, Azad S, Radhakrishnan S, Iyer KS. A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool.Ann Pediatr Card 2021;14:192-200


How to cite this URL:
Awasthy N, Girotra S, Dutta N, Azad S, Radhakrishnan S, Iyer KS. A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool. Ann Pediatr Card [serial online] 2021 [cited 2021 Oct 16 ];14:192-200
Available from: https://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=2;spage=192;epage=200;aulast=Awasthy;type=0