New Techniques for Echocardiographic Evaluation of Cardiac Anatomy in Congenital Heart Disease

1979 ◽  
pp. 287-298
Author(s):  
David J. Sahn
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Cardiac Anatomy ◽  
New Techniques ◽  
Echocardiographic Evaluation

Catheter Ablation and Device Therapy in Congenital Heart Disease

2013 ◽  
pp. 203-214
Author(s):  
Chenni S. Sriram ◽  
Malini Madhavan ◽  
Peter A. Brady ◽  
Bryan C. Cannon ◽  
Christopher J. McLeod ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Catheter Ablation ◽  
Congenital Heart ◽  
Surgical Techniques ◽  
Cardiac Anatomy ◽  
Anatomic Variations ◽  
Device Management ◽  
Surgical History ◽  
Major Increase

Arrhythmias in adult CHD patients represent the leading cause of morbidity and hospitalization, resulting in a major increase in ablation and device-related procedures in these patients. These procedures are often complex, not only because of underlying congenital anatomic variations but also because of the effects of prior surgical repair that can modify the arrhythmic substrate leading to an increased likelihood of multiple types of arrhythmias, even in the same patient. To optimize both success and safety with these procedures, the electrophysiologist must be thoroughly familiar with the underlying cardiac anatomy, prior cardiac surgical history, and known variants of both the pathology and surgical techniques. The purpose of this chapter is to outline the salient concepts and principles pertinent to arrhythmia and device management in patients with CHD.

Echocardiography in congenital heart disease: usefulness, limits and new techniques

2007 ◽  
Vol 8 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Giuseppe Pacileo ◽  
Giovanni Di Salvo ◽  
Giuseppe Limongelli ◽  
Tiziana Miele ◽  
Raffaele Calabrò
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
New Techniques

scholarly journals Abnormal Lung Function in Adults With Congenital Heart Disease: Prevalence, Relation to Cardiac Anatomy, and Association With Survival

Circulation ◽  
2013 ◽  
Vol 127 (8) ◽  
pp. 882-890 ◽  
Author(s):  
Rafael Alonso-Gonzalez ◽  
Francesco Borgia ◽  
Gerhard-Paul Diller ◽  
Ryo Inuzuka ◽  
Aleksander Kempny ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Lung Function ◽  
Congenital Heart ◽  
Disease Prevalence ◽  
Cardiac Anatomy

scholarly journals Evaluating the Performance of Ultrasound Screening for Congenital Heart Disease: A Descriptive Cohort Study

2017 ◽  
Vol 34 (09) ◽  
pp. 905-910 ◽  
Author(s):  
Lindsay Maggio ◽  
Phinnara Has ◽  
Erika Werner ◽  
Dwight Rouse ◽  
Rosemary Froehlich
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Fetal Echocardiography ◽  
Cost Effective ◽  
Cardiac Anomaly ◽  
Cardiac Anatomy ◽  
Ultrasound Screening ◽  
Maternal Fetal Medicine ◽  
Fetal Medicine

Objective The objective of this study was to evaluate the rate of abnormal fetal echocardiogram after normal detailed anatomy ultrasound when both are performed by maternal–fetal medicine specialists. Study Design Retrospective review of women who underwent detailed anatomy ultrasound and fetal echocardiography between 16 and 26 weeks' gestation at a single center. Women included had at least one indication for fetal echocardiography as recommended by the American Institute of Ultrasound in Medicine and normal cardiac anatomy on initial detailed anatomy ultrasound. Women with previous abnormal ultrasound, extracardiac anomalies, and abnormal or incomplete cardiac anatomy on initial examinations were excluded. The primary outcome was abnormal fetal echocardiogram, defined as a structural cardiac anomaly. Results A total of 1,000 women (1,052 fetuses) were included. The most common indication for echocardiography was family history of congenital heart disease. Five fetuses had an abnormal echocardiogram (0.5%, 95% confidence interval: 0.2–1.1%), only one of which altered care. The other four were suspected ventricular septal defects; of these, three were not seen on postnatal cardiac imaging. Conclusion The rate of abnormal fetal echocardiogram after a normal detailed anatomy ultrasound interpreted by maternal–fetal medicine specialists is low. Fetal echocardiography as a second screening test is of low clinical utility and unlikely to be cost-effective in this setting.

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