Η ΣΥΜΒΟΛΗ ΤΟΥ ΥΠΕΡΗΧΟΓΡΑΦΗΜΑΤΟΣ ΔΥΟ-ΔΙΑΣΤΑΣΕΩΝ ΚΑΙ DOPPLER ΣΤΗ ΔΙΑΓΝΩΣΗ ΚΑΙ ΚΑΘΟΔΗΓΗΣΗ ΤΗΣ ΚΟΛΠΙΚΗΣ ΔΙΑΦΡΑΓΜΑΤΟΣΤΟΜΙΑΣ ΜΕ ΜΠΑΛΟΝΙ ΣΕ ΝΕΟΓΝΑ ΜΕ ΑΠΛΗ ΜΕΤΑΘΕΣΗ ΤΩΝ ΜΕΓΑΛΩΝ ΑΡΤΗΡΙΩΝ

TWO-DIMENSIONAL AND DOPPLER ECHOCARDIOGRAPHY WAS USED AS THE SOLE IMAGING DEVICE FOR THE DIAGNOSTIC EVALUATION AND PERFORMANCE OF BALLOON ATRIAL SEPTOSTOMY IN20 NEONATES, AGED FROM 1 TO 4 DAYS, WITH SIMPLE TRANSPOSITION OF THE GREAT ARTERIES. IN 15 NEONATES, BALLOON ATRIAL SEPTOSTOMY WAS PERFORMED THROUGH THE UMBILICAL VEIN, WHEREAS IN THE REMAINDER 5 THE FEMORAL VEIN PERCUTANEOUS TECHNIQUE WAS USED. THE RESULTS ARE SUMMARIZED AS FOLLOWS: 1. THE ECHOCARDIOGRAPHIC DIAGNOSIS OF SIMPLE TRANSPOSITION OF THE GREAT ARTERIES WAS CORRECT IN ALL CASES WITH NO FALSE POSITIVE OR FALSE NEGATIVE RESULTS. 2. IN ALL INFANTS TWO-DIMENSIONAL ECHOCARDIOGRAPHY SHOWED A SIGNIFICANT ATRIAL SEPTAL DEFECT AFTER BALLOON ATRIAL SEPTOSTOMY. THE MEAN DIAMETER OF PATENT FORAMEN OVALE BEFORE BALLOON ATRIAL SEPTOSTOMY WAS 2.7 + 0.55 MM, WHEREAS FOLLOWING THE PROCEDURE IT INCREASED TO 8.5 + 1.36 MM 3. ALL NEONATES SHOWED A SIGNIFICANT IMPROVEMENT IN THE ARTERIAL OXYGEN SATURATION, FROM 41.02 + 13.7% BEFORE BALLOON ATRIAL SEPTOSTOMY TO 71.8 + 11.89% AFTER THE PROCEDURE. (P<0.001) . 4. DOPPLER ECHOCARDIOGRAPHY IMPROVES SIGNIFICANTLY THE ECHOCARDIOGRAPHIC EVALUATION OF BALLOON ATRIAL SEPTOSTOMY. 5.ALL PATIENTS EXCEPT ONE SURVIVED THE BALLOON ATRIAL SEPTOSTOMY AND SUBSEQUENTLY UNDERWENT A SUCCESFULL CORRECTIVE OPERATION. IT IS CONCLUDED THAT 2-DIMENSIONAL AND DOPPLER ECHOCARDIOGRAPHY IS PARTICULARLY USEFULL TECHNIQUE FOR THE DIAGNOSIS AND THE GUIDANCE OF BALLOON ATRIAL SEPTOSTOMY, IN INFANTS WITH SIMPLE TRANSPOSITION OF THE GREAT ARTERIES. THIS TECHNIQUE, THEREFORE MAY REPLACE STANDARDFLUOROSCOPIC METHODS IN THE MANAGEMENT OF THESE PATIENTS.

Grantor dc:publisher

University of Patras

Year dc:date

1987

Author dc:creator

• Μαργετάκης, Ανδρέας

• BALLOON ATRIAL SEPTOSTOMY
• CYANOTIC CONGENITAL HEART DISEASE
• Doppler echocardiography
• Neonates
• SIMPLE TRANSPOSITION OF THE GREAT ARTERIES
• TWO-DIMENSIONAL ECHOCARDIOGRAPHY
• ΑΠΛΗ ΜΕΤΑΘΕΣΗ ΤΩΝ ΜΕΓΑΛΩΝ ΑΡΤΗΡΙΩΝ
• ΚΟΛΠΙΚΗ ΔΙΑΦΡΑΓΜΑΤΟΣΤΟΜΙΑ ΜΕ ΜΠΑΛΟΝΙ
• ΚΥΑΝΩΤΙΚΗ ΣΥΓΓΕΝΗΣ ΚΑΡΔΙΟΠΑΘΕΙΑ
• Νεογνά
• Ηχοκαρδιογράφημα Doppler
• Υπερηχογράφημα δισδιάστατο
• Ιατρική και Επιστήμες Υγείας
• Κλινική Ιατρική
• Medical and Health Sciences
• Clinical Medicine

Language dc:language

gre

Identifier

10.12681/eadd/1590

OAI identifier oai:identifier

oai:10442/1590