The Role of Transesophageal Echocardiography in Adolescents and Adults with Congenital Heart Disease

Authors

  • Naveen Sheikh Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Sajal Krishna Banerjee Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Fazlur Rahman Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Zahid Hossen Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • CM Ahmed Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Harisul Haque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • SMA Habib Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Noornabi Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • MA Muqueet Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • - Khondaker Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Nizamul Hossain Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • ATM Iqbal Hasan Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Jahanara Arzu Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Md Mustashirul Haque Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/uhj.v11i2.31362

Abstract

There is frequent dropout of atrial septal echoesin the region of the fossa ovalis in the standard precordial echocardiographic imaging planes, that can be minimized by use of the subcostal imaging approach. The diagnostic sensitivity of this approach was reviewed in 154 patients (mean age 31 years, range 18years to 45 yrs) with documented atrial septal defect in whom a satisfactory image of the atrial septum could be obtained.Subcostal two-dimensional and color Doppler echocardiography successfully visualized 93 (89%) of the 105 ostium secundum atrial septal defects, all 32 (100%) ostium Primum defects and 7 (44%) of the 16 sinus vinosus defects. A defect was not visualized (false negative response) in 12 patients (11 %) with an ostium secundum defect and in 9 patients (56%) with a sinus venosus defect. In three of the former and five of the latter, a two-dimensional echocardiographic contrast examination and transesophageal echocardiography established the presence of the inter-atrial shunt. Forty eight patients (32 %) with clinical findings of uncomplicated atrial septal defect confirmed by two-dimensional,color Doppler and Transesophageal echocardiography underwent surgical repair of the defect without preoperative cardiac catheterization. There were no perioperative complications.

University Heart Journal Vol. 11, No. 2, July 2015; 63-67

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Author Biography

Naveen Sheikh, Department of Cardiology, Bangabandhu Sheikh Mujib Medical University, Dhaka



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Published

2017-02-02

How to Cite

Sheikh, N., Banerjee, S. K., Rahman, F., Hossen, Z., Ahmed, C., Haque, H., Habib, S., Noornabi, M., Muqueet, M., Khondaker, .-., Hossain, N., Hasan, A. I., Arzu, J., & Haque, M. M. (2017). The Role of Transesophageal Echocardiography in Adolescents and Adults with Congenital Heart Disease. University Heart Journal, 11(2), 63–67. https://doi.org/10.3329/uhj.v11i2.31362

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Original Articles