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In a relatively short period of time two-dimensional echo cardiography has become the most important non-invasive diagnostic tool in the daily practice of a pediatric cardiologist who predominantly deals with congenital structural heart disease in neonates and infants. Consequently, one-dimensional M-mode echocardiography has lost most of its importance particularly in this field. Therefore, an atlas showing exclusively two-dimensional echocardiograms of the most common and some less frequently occurring malformations appeared to be a useful addition to the existing literature. The confinement to two dimensional imaging alone allowed an elaborate presentation of the various defects with more than 200 selected still frames and many additional explanatory drawings and diagrams. The material was collected from patients who were referred to the Department of Pediatric Cardiology of the Wilhelmina University Children's Hospital in Utrecht during a period of about 2 years. The two-dimensional echocardiographic findings were correlated with cardiac catheterization data and/or surgical procedures and/or post mortem investigations. The necessary echocardiographic equipment was aquired with financial aid from the Dutch Heart Foundation. We are indebted to Mrs. J. W. Wetselaar for her outstanding artwork. We also thank P. D. Woltema and F. J. van Waert for the photographic reproductions, Jacomine Bosma for preparing and type-setting the entire manuscript and Dr. N. Middleton for critically reading the English text. G. J. van Mill, M. D. A. J. Moulaert, M. D. E. Harinck, M. D. CONTENTS 1. Introduction and the normal heart Introduction The normal heart 2 2.
This atlas is a comprehensive compendium of congeni and two-dimensional echocardiographic examples. The tal cardiac morphology as depicted by tomographic two examples and experience span all ages and may be used dimensional echocardiography. Anatomic specimens by both pediatric and adult cardiologists. The intended cut in planes of section corresponding to the echocar emphasis is on tomographic morphology and not on diographic views help in the understanding of the echo specialty applications such as fetal, contrast, or Dop cardiographic sections. Composite photographs relate pler echocardiography. different planes of section or cardiac events. Still-frame The tomographic approach to congenital anomalies is photography cannot always adequately relate real-time the imaging modality of the 80s and is applicable to echocardiography, computerized tomography, and imaging events. However, the emphasis of this text is to demonstrate the tomographic morphology and no at magnetic resonance imaging. It is the building block tempt is made to discuss in detail functional or physio from which the expected three-dimensional imaging logic events. techniques of the 1990s will be developed. The wide spread clinical application of these imaging modalities Those performing two-dimensional echocardiography should have a working knowledge of cardiac anatomy has rekindled interest in cardiac anatomy and pathol and common congenital aberrations. This is an in-depth ogy, particularly in the evaluation of patients with con tomographic atlas not only of the common congenital genital heart disease.
Written by expert pediatric cardiologists at the Mayo Clinic and other leading institutions, this book provides a comprehensive review of echocardiographic evaluation and diagnosis of congenital heart disease in pediatric and adult patients. Coverage includes advanced techniques such as tissue Doppler, three-dimensional echocardiography, intracardiac and intraoperative transesophageal echocardiography, and cardiac magnetic resonance imaging. Chapters provide complete information on the full range of abnormalities and on evaluation of valve prostheses and the transplanted heart. More than 1,300 illustrations, including over 900 in full color, complement the text. Purchase includes online access to AVI clips developed at the Mayo Clinic of the congenital-specific lesions illustrated in the book.
Approx.704 pages Approx.704 pages Take advantage of the most recent diagnostic and therapeutic advances in pediatric cardiology. Every topic and chapter has been revised and updated to reflect the latest medical and surgical treatments for all congenital and acquired heart diseases. New surgical approaches, including hybrid procedures, have been updated. A special focus has been placed on noninvasive imaging techniques, normative blood pressure standards, suggested approaches to pediatric hypertension, detection and management of lipid abnormalities as recommended by the Expert Panel, pediatric arrhythmias (including long QT syndrome), and much more. Access the full text online at Expert Consult.
This thorough revision of Color Atlas of Congenital Heart Surgery features 700 vividly reproduced intraoperative images taken with a special side-mounted flash. They convey exquisite perception of depth in the operative field in full color. The atlas presents surgical techniques for the full spectrum of cardiac congenital anomalies. This includes revised and updated text on many topics such as repair of straddling tricuspid valve associated with the posterior ventricular septal defect. Throughout the text, the carefully labeled photographs provide vivid representation of three-dimensional spatial relations of congenital anomalies and surgical anatomy.
This extensively revised textbook reviews the use of transesophageal echocardiography (TEE) in pediatric and young adult patients with cardiac disease. It reviews how TEE has made a vital contribution to these patients’ successful and continually improving clinical outcomes, enabling them to live well into adulthood. The book details the evolving technology and applications of TEE (including three-dimensional TEE), describing how this imaging approach remains at the forefront of clinical practice for pediatric patients and those with congenital heart disease (CHD). Transesophageal Echocardiography for Pediatric and Congenital Heart Disease represents a unique contribution as the only contemporary text to focus exclusively on the clinical application of TEE in children and all patients with CHD. Written by numerous prominent specialists in the field, it presents a comprehensive, modern and integrated review of the subject. Specific chapter topics include the physics and instrumentation of TEE, structural and functional evaluation, and specialized aspects of the examination, with emphasis on the technical considerations pertinent to both pediatric and adult patients with a variety of congenital and acquired cardiovascular pathologies. Consequently, it serves as a comprehensive reference for the TEE evaluation of CHD, utilizing the segmental approach to diagnosis and discussing the TEE evaluation of the many anomalies encompassing the CHD spectrum. In addition, numerous other relevant topics are discussed, including application of TEE for perioperative and interventional settings. The book is richly illustrated, with many chapters supplemented by illustrative case studies and accompanying videos. A specific section with multiple-choice questions and answers is provided at the end of each chapter to reinforce key concepts. This textbook therefore provides an invaluable and indispensable resource for all trainees and practitioners using TEE in the management of CHD and pediatric patients.
Transesophageal echocardiography has become an important diagnostic method for cardiologists. It offers better resolution of images in certain cases (patients with endocarditis, prosthetic valves, central and peripheral embolism) and the distinct advantage of applicability during heart surgery. In the intensive care unit or in high risk patients during general anesthesia, it allows continuous monitoring and earlier detection of irregularities. Well-known international experts discuss the present status of this new technique, from technology and indications, advantages and disadvantages, to use in the operating room.
First multi-year cumulation covers six years: 1965-70.