Pinto C A, Horowitz E S, Rigby M
Royal Brompton Hospital-Londres-Inglaterra.
Arq Bras Cardiol. 1995 May;64(5):423-8.
To evaluate the contribution and comparative value of paracoronal transgastric view compared with conventional transesophageal examination for morpho-functional assessment of different types of congenital heart disease in a pediatric group.
Fifteen patients with clinical and echocardiographic diagnosis of congenital heart disease were selected for single plane transesophageal examination. After routine evaluation, the probe was positioned to obtain a paracoronal transgastric view, and images that result from this technique were recorded and compared with those obtained in the conventional way. Eleven procedures were carried out in the cathlab and four in pediatric intensive care unit, under general anesthesia or heavy sedation. The age and weight were 32.0 months and 11.6 kg respectively. No adverse reactions were observed with this method.
In comparison with conventional transesophageal study, the paracoronal transgastric view permitted better morpho-functional assessment of the outlets of the right and left ventricles, as well as additional informations about the left pulmonary artery.
Morphological and hemodynamic informations obtained from paracoronal transgastric view is a safe method which can be used either as an alternative or a complement to conventional examination to assess the outlets of both ventricles, as well as to evaluate the subvalvar, valvar and supravalvar region in different types of congenital heart disease.
评估在儿科群体中，与传统经食管检查相比，旁冠状面经胃视图对不同类型先天性心脏病形态功能评估的贡献及比较价值。
选取15例临床及超声心动图诊断为先天性心脏病的患者进行单平面经食管检查。常规评估后，将探头定位以获取旁冠状面经胃视图，并记录该技术所得图像，与传统方式获取的图像进行比较。11例操作在心导管室进行，4例在儿科重症监护病房进行，均在全身麻醉或深度镇静下进行。年龄和体重分别为32.0个月和11.6千克。该方法未观察到不良反应。
与传统经食管研究相比，旁冠状面经胃视图能更好地对左右心室流出道进行形态功能评估，还能获取有关左肺动脉的额外信息。
从旁冠状面经胃视图获得的形态学和血流动力学信息是一种安全的方法，可作为传统检查的替代或补充，用于评估双心室流出道，以及评估不同类型先天性心脏病的瓣下、瓣膜和瓣上区域。
