Hartyánszky I, Kádár K
Országos Kardiológiai Intézet, Budapest.
Orv Hetil. 1997 Mar 2;138(9):537-40.
Intraoperative epicardial echocardiography (IEE) is very useful to assess the result of the surgical procedure. In infancy and childhood the authors performed 32 IEE (using high frequency transducer) out of 193 operations with congenital heart diseases. As a result of IEE study the surgical procedure was extended in 5 cases, as follows: closure of patent ductus arteriosus, exchange of transanular patch, repeated mitral repair, prosthetic mitral valve implantation, and correction of residual right to left shunt. No early or late reoperation was necessary in the remaining cases. Follow up echocardiography and autopsy in 4 cases confirmed the diagnosis of the IEE. The results suggest, that IEE will be the standard method for quality control of surgical procedures in congenital heart disease.
术中心外膜超声心动图（IEE）对于评估手术效果非常有用。在婴幼儿期，作者在193例先天性心脏病手术中进行了32例IEE（使用高频探头）。IEE研究结果显示，有5例手术范围扩大，具体如下：动脉导管未闭结扎术、经环补片置换术、二尖瓣再次修复术、人工二尖瓣植入术以及残余右向左分流的矫治术。其余病例无需早期或晚期再次手术。4例患者的随访超声心动图检查及尸检证实了IEE的诊断结果。结果表明，IEE将成为先天性心脏病手术质量控制的标准方法。
