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Updated: Mar 9, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Acyanotic congenital heart disease and transesophageal echocardiography
1Department of Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.
Insights
Adult congenital heart disease (CHD) presents a wide spectrum of conditions. Echocardiography, particularly transesophageal echocardiography, is crucial for assessing these complex cardiac anomalies.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Adult congenital heart disease (CHD) encompasses a broad range of cardiac malformations.
- These conditions vary from simple defects needing no treatment to complex pathologies with multiple anomalies.
Purpose of the Study:
- To highlight the role of echocardiography in evaluating adult CHD.
- To emphasize the advantages of transesophageal echocardiography (TEE) over transthoracic imaging.
Main Methods:
- Review of echocardiographic techniques for adult CHD assessment.
- Focus on noninvasive imaging modalities.
Main Results:
- Echocardiography is the primary noninvasive tool for assessing adult CHD.
- Transesophageal echocardiography provides superior anatomic and functional data compared to transthoracic echocardiography.
Conclusions:
- Transesophageal echocardiography enhances the diagnostic capabilities for complex adult congenital heart disease.
- Echocardiography remains essential for managing the diverse spectrum of adult CHD.
Abstract:
The spectrum of congenital heart disease (CHD) seen in the adult varies widely. Malformations range from mild anomalies requiring no intervention to extremely complex pathologies characterized by the presence of multiple coexistent defects. Echocardiography represents the primary noninvasive imaging modality in the assessment of these lesions. The transesophageal approach expands the applications of echocardiography by allowing the acquisition of anatomic and functional information that may not be obtainable by transthoracic imaging.
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