Accuracy of Intraoperative Epicardial Echocardiography in the Assessment of Surgical Repair of Congenital Heart Defects confirmed

Objective: To determine the accuracy of epicardial echocardiography in detecting residual lesions after surgical repair of congenital heart defects. To determine the sensitivity, specificity, positive predictive valve, negative predictive valve, and false negative and false positive percentage of the same. Materials and Methods: One year hospital-based prospective study of epicardial echocardiography in patients undergoing cardiopulmonary bypass for surgical correction of congenital heart defects in children and adults. Results: Epicardial echocardiography was done in 158 patients. Residual lesions were detected in 38 patients by epicardial echocardiography. In 28 of these cases the residual lesions were significant. In 24 of them immediate reoperation was done with good outcome. Epicardial echo has high sensitivity, specificity, positive and negative predictive valve, in detecting residual lesion with congenital heart defects. Conclusion: Routine use of intraoperative epicardial echocardiography allows detection of majority of residual defects. It has high accuracy. There were no complications associated with use of epicardial echocardiography. The use of transesophageal echocardiography (TEE) can be avoided in small children and neonates undergoing cardiac surgery.

• Publication year

  2013

• Venue

  Journal of Cardiovascular Echography

• Publication date

  2013-04-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.4103/2211-4122.123032PMID 28465885PMCID 5353393
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• The impact of additional epicardial imaging to transesophageal echocardiography on intraoperative detection of residual lesions in congenital heart surgery.

  2012cited by this paper
• Initial experience with a miniaturized multiplane transesophageal probe in small infants undergoing cardiac operations.

  2010cited by this paper
• Paediatric heart care in India

  2008cited by this paper
• Epicardial and transoesophageal echocardiography during surgery for congenital heart disease

  2005cited by this paper
• The adult with congenital heart disease: born to be bad?

  2005cited by this paper
• Intraoperative echocardiography as a routine adjunct in assessing repair of congenital heart defects: experience with 300 cases.

  1998cited by this paper
• Transesophageal Echocardiography in Children with Congenital Heart Disease: An Initial Experience

  1990cited by this paper
• Intraoperative echocardiography in infants and children with congenital cardiac shunt lesions: transesophageal versus epicardial echocardiography.

  1990cited by this paper
• Routine use of intraoperative epicardial echocardiography and Doppler color flow imaging to guide and evaluate repair of congenital heart lesions. A prospective study.

  1990cited by this paper
• Intraoperative transesophageal versus epicardial ultrasound in surgery for congenital heart disease.

  1990cited by this paper
• Comparative roles of intraoperative epicardial and early postoperative transthoracic echocardiography in the assessment of surgical repair of congenital heart defects.

  1990cited by this paper
• Long-term follow-up of operated congenital heart disease.

  1989cited by this paper
• Efficacy of Intraoperative Transesophageal Echocardiography in Children with Congenital Heart Disease

  1989cited by this paper
• The Use of Intraoperative Echo with Doppler Color Flow Imaging to Predict Outcome After Repair of Congenital Cardiac Defects

  1989cited by this paper
• Intraoperative two-dimensional Doppler echocardiography. A preliminary study for congenital heart disease.

  1988cited by this paper
• Intraoperative two-dimensional echocardiography in congenital heart disease.

  1987cited by this paper
• Intraoperative color flow mapping by real-time two-dimensional Doppler echocardiography for evaluation of valvular and congenital heart disease and vascular disease.

  1985cited by this paper

• Echocardiographic Assessment of a Novel Blood-guiding Accessory for Left Ventricular Assist Devices in Swine

  2025cites this paper
• A systematic methodology for epicardial and epiaortic echocardiography in swine research models

  2024cites this paper
• Intraoperative epicardial echocardiography or transoesophageal echocardiography in CHD: how much does it matter?

  2022cites this paper
• Conotruncal Anomalies

  2021cites this paper
• A systematic approach to epicardial echocardiography in pediatric cardiac surgery: An important but underutilized intraoperative tool

  2021cites this paper
• Consensus document on optimal management of patients with common arterial trunk.

  2021cites this paper
• Consensus document on optimal management of patients with common arterial trunk.

  2021cites this paper
• Epicardial Echocardiography in Pediatric and Congenital Heart Surgery

  2019cites this paper
• The role of intraoperative epicardial echocardiography in pediatric cardiac surgery

  2018cites this paper