Abstract:Two-dimensional echocardiography can diagnose hypoplastic left heart syndrome. However, with the advent of the possibility of palliative open heart surgery, complete anatomic diagnosis is necessary. The anatomic findings of 15 neonates with hypoplastic left heart syndrome (age 1 to 10 days, mean 4.1) who had two-dimensional Doppler echocardiographic studies were compared with the results obtained by angiography (6 cases), surgery (11 cases) and autopsy (8 cases). Complete two-dimensional echocardiographic exam… Show more
“…Echocardiography is also commonly used as the sole diagnostic modality before the first palliative procedure in patients with single-ventricle lesions (6,7). Diagnostic evaluation before Fontan procedure has typically included noninvasive assessment with echocardiography as well as invasive hemodynamic and angiographic evaluation by cardiac catheterization (8,9).…”
Our data suggest that catheterization before Fontan could be avoided in a large percentage of patients without adversely affecting outcome; prospective evaluation of this strategy is warranted.
“…Echocardiography is also commonly used as the sole diagnostic modality before the first palliative procedure in patients with single-ventricle lesions (6,7). Diagnostic evaluation before Fontan procedure has typically included noninvasive assessment with echocardiography as well as invasive hemodynamic and angiographic evaluation by cardiac catheterization (8,9).…”
Our data suggest that catheterization before Fontan could be avoided in a large percentage of patients without adversely affecting outcome; prospective evaluation of this strategy is warranted.
“…Em muitos serviços, o ecocardiograma tornou-se método de primeira linha no estudo pré-operatório, ficando o cateterismo reservado para complementação diagnóstica. Entretanto, ainda é controversa na literatura a indicação cirúrgica sem estudo invasivo para todos os casos de defeito cardíaco complexo [6][7][8][9][10][11][12][13][14][15] , conduta aceita por algumas instituições apenas para os casos de defeitos simples, como lesões isoladas com shunt intracardíaco e cardiopatias apresentando fisiologia de ventrículo único, que necessitam de cirurgia paliativa.…”
Echocardiography proved to be a sensitive and safe method for indicating surgery, making catheterization, often, unnecessary. The invasive study was restricted to diagnostic or therapeutic uses.
“…O principal papel do exame está na completa caracterização da lesão de pacientes com suspeita clínica, na avaliação da história natural, no reconhecimento e na prevenção de mudanças secundárias, assim como na resposta ao tratamento dispensado [85][86][87][88][89][90][91][92][93][94][95][96] .…”
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