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Article: The role of transesophageal echocardiography in the diagnosis and management of children and young adults with valvar diseases of the left heart

TitleThe role of transesophageal echocardiography in the diagnosis and management of children and young adults with valvar diseases of the left heart
Authors
KeywordsTransesophageal echocardiography
mirral valve
aortic valve
Issue Date1994
PublisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=CTY
Citation
Cardiology in the Young, 1994, v. 4, p. 373-380 How to Cite?
AbstractSummary The role of transesophageal echocardiography in the diagnosis and management of left-sided cardiac valvar disease in children and young adults was assessed in terms of whether additional information (over transthoracic echocardiography) could be obtained, and whether the added information contributed to the better management of the patients. Between January 1991 to August 1992, 27 consecutive patients were studied. Their age ranged from 2.5 to 20 years (mean 12.7), with body weights ranging between 12 and 60 kg (mean 35.6). Twelve of the children suffered from atrioventricular valvar disease, 13 had predominant aortic valvar lesions and two had mixed valvar pathologies. Additional information was obtained by transesophageal over that of transthoracic echocardiography in 18 children (67%). Transesophageal echocardiography clarified the etiologies or mechanism of valvar regurgitation in eight and seven children with atrioventricular and aortic pathologies, respectively. The technique correctly diagnosed severe mitral regurgitation underestimated by conventional technique, detected a missed eccentric aortic regurgitant jet and convincingly excluded bacterial vegetations in one case each. The investigation contributed to the better management of three children (11%) by providing information that allowed the appropriate choice of therapy. Transesophageal echocardiography, therefore, is a useful technique for the diagnosis and management of valvar disease of the left heart in children and young adults.
Persistent Identifierhttp://hdl.handle.net/10722/45226
ISSN
2015 Impact Factor: 0.825
2015 SCImago Journal Rankings: 0.312

 

DC FieldValueLanguage
dc.contributor.authorLeung, MPen_HK
dc.contributor.authorYung, TCen_HK
dc.contributor.authorChan, Ben_HK
dc.contributor.authorChiu, Cen_HK
dc.contributor.authorLee, Jen_HK
dc.contributor.authorMok, CKen_HK
dc.date.accessioned2007-10-30T06:20:18Z-
dc.date.available2007-10-30T06:20:18Z-
dc.date.issued1994en_HK
dc.identifier.citationCardiology in the Young, 1994, v. 4, p. 373-380en_HK
dc.identifier.issn1047-9511en_HK
dc.identifier.urihttp://hdl.handle.net/10722/45226-
dc.description.abstractSummary The role of transesophageal echocardiography in the diagnosis and management of left-sided cardiac valvar disease in children and young adults was assessed in terms of whether additional information (over transthoracic echocardiography) could be obtained, and whether the added information contributed to the better management of the patients. Between January 1991 to August 1992, 27 consecutive patients were studied. Their age ranged from 2.5 to 20 years (mean 12.7), with body weights ranging between 12 and 60 kg (mean 35.6). Twelve of the children suffered from atrioventricular valvar disease, 13 had predominant aortic valvar lesions and two had mixed valvar pathologies. Additional information was obtained by transesophageal over that of transthoracic echocardiography in 18 children (67%). Transesophageal echocardiography clarified the etiologies or mechanism of valvar regurgitation in eight and seven children with atrioventricular and aortic pathologies, respectively. The technique correctly diagnosed severe mitral regurgitation underestimated by conventional technique, detected a missed eccentric aortic regurgitant jet and convincingly excluded bacterial vegetations in one case each. The investigation contributed to the better management of three children (11%) by providing information that allowed the appropriate choice of therapy. Transesophageal echocardiography, therefore, is a useful technique for the diagnosis and management of valvar disease of the left heart in children and young adults.en_HK
dc.format.extent1394123 bytes-
dc.format.extent2435 bytes-
dc.format.mimetypeapplication/pdf-
dc.format.mimetypetext/plain-
dc.languageengen_HK
dc.publisherCambridge University Press. The Journal's web site is located at http://journals.cambridge.org/action/displayJournal?jid=CTYen_HK
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License-
dc.rightsCardiology in the Young. Copyright © Cambridge University Press.en_HK
dc.subjectTransesophageal echocardiographyen_HK
dc.subjectmirral valveen_HK
dc.subjectaortic valveen_HK
dc.titleThe role of transesophageal echocardiography in the diagnosis and management of children and young adults with valvar diseases of the left hearten_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1047-9511&volume=4&spage=373&epage=380&date=1994&atitle=The+role+of+transesophageal+echocardiography+in+the+diagnosis+and+management+of+children+and+young+adults+with+valvar+diseases+of+the+left+hearten_HK
dc.description.naturepublished_or_final_versionen_HK
dc.identifier.hkuros3100-

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