[The role of echocardiography as an isolated method for indicating surgery in patients with congenital heart disease].

Abstract:

OBJECTIVE:To determine the diagnostic accuracy of echocardiography for indicating surgery without catheterization in patients with congenital heart disease through a prospective analysis and comparison of the echocardiographic diagnosis with the intraoperative findings, or invasive study, or both. METHODS:From February 2000 to January 2001, 493 patients with congenital heart diseases indicated for surgery were followed up. They underwent echocardiography with color-flow mapping for a therapeutic decision. The results were compared with the findings of surgery or catheterization, or both, when the latter were performed for diagnostic reasons. RESULTS:Of the patients studied, 94.3% (465 cases) underwent congenital heart disease correction based only on echocardiographic findings, without a diagnostic catheterization. The invasive study was performed for diagnostic reasons in 28 (5.6%) patients, the surgical treatment was performed in more than 95% of the patients, and therapeutic catheterization was performed in 3.6%. The echocardiographic findings were confirmed in 464 (94.1%) patients, which showed the high accuracy of the method. False-positive findings occurred in 8 (1.6%) patients, and false-negative findings in 39 (7.9%). According to surgeons, no diagnostic error led to complications or adversely affected the surgical results. CONCLUSION:Echocardiography proved to be a sensitive and safe method for indicating surgery, making catheterization, often, unnecessary. The invasive study was restricted to diagnostic or therapeutic uses.

journal_name

Arq Bras Cardiol

authors

Lopes LM,Damiano AP,Moreira GN,Azevedo TJ,Nagamatsu CT,Tavares GM,Guerra VC,Silva JP,Furlanetto G,Salvador AB

doi

10.1590/s0066-782x2005000500006

subject

Has Abstract

pub_date

2005-05-01 00:00:00

pages

381-6

issue

5

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2005000500006

journal_volume

84

pub_type

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