Predictive value of intraoperative transesophageal echocardiography in complete atrioventricular septal defect

Koo Kim Hyun, Woong Han Kim, Wook Hwang Sung, Young Lee Jae, Young Song Jin, Soo Jin Kim, Young Jang Ki

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background. Intraoperative transesophageal echocardiography and follow-up transthoracic echocardiography have been useful in assessing cardiac function in complete atrioventricular septal defects. However, it has been suggested that a discrepancy exists between intraoperative and postoperative findings, and that intraoperative findings cannot reliably predict long-term results. This study aims to determine whether this discrepancy exists and to assess whether it is possible to predict follow-up results using intraoperative transesophageal echocardiography. Methods. A retrospective analysis was made in 35 patients who underwent biventricular repair by one surgeon between November 1997 and January 2004. All patients received intraoperative transesophageal echocardiography and follow-up transthoracic echocardiography at 19.1 ± 18.02 months (range, 7 days to 5 years; median, 15.1 months). Results. In left-sided atrioventricular valve regurgitation, 34.3% (12 of 35) of patients showed discrepancy during follow-up, and 28.6% (10 of 35) showed progression of regurgitation (from grade I to II). In right-sided atrioventricular valve, 11.4% (4 of 35) of patients showed discrepancy, 9.6% (3 of 35) showed progression of regurgitation (from grade I to II). Conclusions. In complete atrioventricular septal defects, intraoperative transesophageal echocardiography did not show the same findings as that of follow-up transthoracic echocardiography in some cases. However, this discrepancy is not so great as to require reoperation in early to midterm follow-up. Therefore, intraoperative transesophageal echocardiography may be used as tool to predict durability of surgical results and to decrease the incidence of reoperation in complete atrioventricular septal defects.

Original languageEnglish
Pages (from-to)56-59
Number of pages4
JournalAnnals of Thoracic Surgery
Volume80
Issue number1
DOIs
Publication statusPublished - 2005 Jul

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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