The usefulness of echocardiography in the surgical management of infants with congenital heart disease.
Between January 1988 and August 1991, at The Children's Heart Center, Atlanta, 83 infants with congenital heart defects were diagnosed by echocardiography and underwent surgery without cardiac catheterization. The diagnostic categories included 46 infants with left heart obstructive lesions, 19 infants with cyanotic heart lesions, and 18 infants with miscellaneous lesions. Forty-five infants (55%) underwent surgery under cardiopulmonary bypass. There were three errors in diagnosis, yielding a diagnostic accuracy of 95%. Many infants with congenital heart disease can be accurately and completely diagnosed by echocardiography and can safely undergo surgery without cardiac catheterization.
D001017:Aortic Coarctation / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery; D006328:Cardiac Catheterization; D003490:Cyanosis; D004374:Ductus Arteriosus, Patent / Q000000981:diagnostic imaging / Q000601:surgery; D004452:Echocardiography; D015150:Echocardiography, Doppler; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery*; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008943:Mitral Valve / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D010166:Palliative Care; D011667:Pulmonary Veins / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D015996:Survival Rate; D013771:Tetralogy of Fallot / Q000000981:diagnostic imaging / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery