Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-28T00:35:43.907Z Has data issue: false hasContentIssue false

20 - Adult congenital heart disease

TEE guidance of interventional catheter-delivered devices

from Section 2 - Practical issues in transesophageal echocardiography

Published online by Cambridge University Press:  10 May 2010

By
Mario Carminati ,
Diana Negura ,
Luciane Piazza ,
Massimo Chessa ,
Gianfranco Butera  and
Robert Feneck
Edited by
Robert Feneck ,
John Kneeshaw  and
Marco Ranucci
Get access

Summary

This chapter focuses on the diagnosis and management of patients with adult congenital heart disease (CHD). The role of transesophageal echocardiography (TEE) during the percutaneous procedure is to identify the number of defects and monitor the implantation of the transcatheter device. This must be done without obstructing fluoroscopy. During implantation the location of catheters, balloon sizing, and the position of the device both before and after release should be assessed. TEE guidance during transcatheter closure of atrial septal defect (ASD), patent foramen ovale (PFO), and ventricular septal defect (VSD) is now standard practice. TEE is currently considered the reference standard for PFO diagnosis, allowing direct imaging of the interatrial septum and saline contrast shunting through a PFO. Possible partial atrioventricular septal defect (AVSD) should be considered in patients who have complex patterns of mitral regurgitation (MR).

Keywords

aortic aneurysmcoarctationleiomyosarcomatraumatic injurytransesophageal echocardiographythoracic aortasupravalvular aortic stenosis
Type
Chapter
Information
Core Topics in Transesophageal Echocardiography , pp. 324 - 338
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×