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"This book is a practical guide to the use of TEE (transoesophageal echocardiography) in the diagnosis of congenital heart disease (CHD). Beginning with an introduction to TEE for CHD, the following chapters describe procedures to be used for different cardiac conditions. 3D TEE allowing multi-dimensional perspectives is also covered."

"Echocardiography in Heart Failure - a volume in the exciting new Practical Echocardiography Series edited by Dr. Catherine M. Otto - provides practical, how-to guidance on effectively applying echocardiography to evaluate heart failure, make therapeutic decisions, and monitor therapy. Definitive, expert instruction from Drs. Martin St. John Sutton and Denise Wiegers is presented in a highly visual, case-based approach that facilitates understanding and equips you to accurately apply this technique while avoiding any potential pitfalls. Access the full text online at www.expertconsult.com al."

"Three-dimensional (3D) transesophageal echocardiography (TEE) is a powerful visual tool which the novice or experienced echocardiographer, cardiologist, or cardiac surgeon can use to achieve a better understanding and assessment of normal and pathological cardiac function and anatomy. A complement to traditional 2D imaging, 3D TEE enables visualization of any cardiac structure from multiple perspectives. For the echocardiographer, it demands a different set of skills for image acquisition and manipulation. Real-time three-dimensional transesophageal echocardiography is a practical illustrated step-by-step guide to the latest in 3D technology and image acquisition. Each chapter systematically focuses on different cardiac structures with practical tips to image acquisition.Features :Up-to-dateSynoptic presentation of essential “how-to” and relevant clinical informationMore than 300 color figuresPractical fundamentals, including altered knobology, and how to acquire and manipulate image datasetsSystematic identification of special diagnostic issuesNormal and abnormal cardiac pathologySupplemented by the Virtual TEE Perioperative Interactive Education (PIE) website which provides free access to online resources for teaching and learning TEE : http://pie.med.utoronto.ca/TEE"

"Transesophageal echocardiography (TEE) is a valuable diagnostic modality now routinely used during cardiac surgery and in the intensive care unit. Increasingly, anesthesiologists trained in TEE provide the service in both settings where they face the challenge of integrating numerous current TEE guidelines into day-to-day practice. Perioperative two-dimensional transesophageal echocardiography : a practical handbook has been designed to be a concise, portable guide for using TEE to recognize cardiac pathology during the perioperative period. This compact guide has a diverse appeal for anesthesiologists, cardiac surgeons, and cardiologists desiring comprehensive up-to-date echocardiographic information at their fingertips.Features :- More than 450 full-color, high quality clinical images and illustrations- Synopsis of cardiac pathology commonly encountered in cardiac surgery patients- Convenient spiral binding- On-the-spot reference for echocardiographers with a wide range of experience, from novice to expert"

"This book is a true asset for any physician, resident, nurse, or other healthcare professional looking to master perioperative transesophageal echocardiography. Spanning 2- and 3-D imagining, as well as Doppler modalities for assessing ventricular performance and valvular disease, this book guides you through the physics, principles, and applications of each technique."

"Co-occurrence of cyanotic congenital heart disease (CCHD) and phaeochromocytoma (PCC) and paraganglioma (PGL) are rare, although some cases have been reported. We report a case of left paraganglioma in a 20-year-old lady with an underlying CCHD who underwent palliative Glenn shunt, subsequently developed polycythaemia and cavernous sinus thrombosis presented with palpitation, sweating, headache and hypertension of 3-months duration at the age of 17. The abdominal CT scan revealed an enhancing left paraaortic mass measuring 5.2 cm x 4.4 cm x 3.8 cm. A 24-hour urine catecholamine demonstrated raised noradrenaline level to six times upper limit of normal and hence diagnosis of left sympathetic (sPGL) was made. In view of the delayed diagnosis and significant morbidity associated with her condition, surgical treatment is no longer an option. Therefore, vigilant screening and early treatment of PCC-PGL in patients with CCHD are crucial in order to avoid significant morbidity and ensure a good quality of life."

"Latar belakang: Kekurangan gizi merupakan penyebab umum morbiditas pada anak dengan penyakit jantung bawaan (PJB). Data dari negara berkembang memperlihatkan prevalensi malnutrisi penderita dengan PJB sebelum dioperasi mencapai 45%. Penelitian ini bertujuan untuk mengetahui profil anhropometrik dan prevalensi kekurangan gizi pada anak dengan PJB dengan melakukan pengukuran anthropometrik.Metode: Penelitian ini merupakan penelitian dengan rancang bangun cross sectional pada anak berusia 0-2 tahun dengan PJB di RSCM. Pengukuran antropometri (berat badan, panjang badan, lingkar kepala) dilakukan pada seluruh pasien. Kekurangan gizi, failure to thrive/FTT, perawakan pendek, mikrosefali dinilai dengan menggunakan rekomendasi WHO tahun 2006, berupa perhitungan z-skor BB/PB, BB/U di 2 titik, PB/U dan LK/U < -2 SD.Hasil: Total subyek dalam penelitian ini berjumlah 95 orang, 73 orang dengan asianotik dan 22 orang dengan PJB sianotik. Prevalensi kekurangan gizi sebesar 51,1% dengan 22,3% diantaranya adalah gizi buruk. FTT terdapat pada 64,9%, perawakan pendek pada 49,5% dan mikrosefali pada 37% pasien. FTT ditemukan lebih banyak pada pasien dengan lesi asianotik (72,2%) dibandingkan dengan lesi sianotik (42,9). Pada lesi asianotik, berat badan lebih dipengaruhi daripada panjang badan (72,2% dengan 49,3%). Pasien dengan lesi sianotik, berat dan panjang badan akan dipengaruhi secara seimbang (42,9% dengan 54.5%). Konsultasi diet diberikan kepada pasien dengan kekurangan gizi. Terapi obat-obatan, intervensi transkateter atau bedah diindikasikan pada pasien tertentu.Kesimpulan: Prevalensi FTT lebih tinggi dibandingkan dengan kekurangan gizi pada anak dengan kelainan jantung kongenital. FTT ditemukan lebih banyak pada pasien dengan lesi asianotik. Pada lesi asianotik, berat badan lebih dipengaruhi daripada panjang badan. Pada lesi asianotik, berat badan lebih dipengaruhi daripada panjang badan.

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AbstractBackground: Undernutrition is a common cause of morbidity in children with CHD. Previous data from developing country showed prevalence of preoperative undernutrition in children with CHD was up to 45%. The aim of this study are to determine the anthropometric profi les and prevalence of undernutrition in children with CHD by using the anthropometric measurement.Methods: A cross-sectional study was carried out in children aged 0-2 years old with CHD in Cipto Mangunkusumo hospital. All patients underwent an anthropometric evaluation (weight, length and head circumference) at presentation. Undernutrition, failure to thrive /FTT, short stature and microcephaly were determined according to WHO, weight-forlength, weight-for-age at 2 points, length-for-age, head circumference-for-age z-score < -2SD accordingly.Results: We had total of 95 patients, 73 patients with acyanotic and 22 patients with cyanotic lesions. Prevalence of undernutrition in CHD was 51.1%, with 22.3% severe undernutrition. FTT was found in 64.9%, short stature in 49.5% and microcephaly in 37% patients. FTT was found higher in acyanotic (72.2%) compared to cyanotic lesions (42.9%). In acyanotic, weight was affected more than length (72.2% vs 49.3%). In cyanotic, weight and length affected equally (42.9% vs 54.5%). Diet counseling were done in patients with undernutrition. Medicines, transcatheter or surgery intervention were indicated in selected patients.Conclusions: Prevalence of FTT was higher than undernutrition in children with CHD. FTT was found higher in acyanotic lesions. In acyanotic, weight was affected more than length. In cyanotic, weight and length affected equally. "

"Latar belakang: Saat ini tindakan intervensi transkateter banyak dilakukan pada PJB non-sianotik meskipun pada beberapa kasus tertentu tetap membutuhkan penanganan secara operasi jantung terbuka. Penilaian luaran jangka panjang anak dengan PJB non-sianotik seperti fungsi kognitif ditinjau dari perbedaan penanganannya baik secara intervensi transkateter maupun operasi terbuka masih sangat terbatas. Oleh karena itu, peneliti ingin mengevaluasi fungsi kognitif anak dengan PJB non-sianotik yang mendapatkan operasi terbuka dan tindakan intervensi transkateter berdasarkan tes intelegensi menurut skala Wechsler dan menilai EEG pasien setelah dilakukannya tindakan.Tujuan :Mengetahui skor IQ dan gambaran EEG pada pasien anak dengan penyakit jantung bawaan non-sianotik pascaoperasi jantung terbuka dan tindakan intervensi transkateter.Metode: Studi potong lintang pada anak usia 4 sampai 18 tahun dengan PJB non-sianotik yang sudah menjalani operasi jantung terbuka dan kelompok anak dengan PJB non-sianotik yang sudah menjalani tindakan intervensi transkateter. Penelitian dilakukan di poli jantung terpadu (PJT) dan poliklinik anak Kiara Departemen Ilmu Kesehatan Anak RSUPN Dr. Cipto Mangunkusumo Jakarta mulai bulan Desember 2018 hingga Februari 2019.Hasil :Dari 76 anak dengan PJB non-sianotik yang berusia 4 hingga 18 tahun didapatkan 55,4% FSIQ normal pada kelompok operasi terbuka dan 44,6% FSIQ normal pada kelompok tindakan intervensi transkateter dengan nilai p=0,680. Pada pemeriksaan EEG didapatkan hasil 70,7% EEG normal pada kelompok operasi terbuka dan 51,4% EEG normal pada kelompok tindakan intervensi transkateter dengan nilai p=0,084. Tidak didapatkan perbedaan bermakna pada kedua kelompok. Simpulan:Tindakan operasi terbuka maupun intervensi kateter yang dilakukan pada anak dengan PJB non-sianotik tidak memengaruhi skor IQ dan gambaran EEG. Tidak diperlukan pemeriksaan EEG sebelum dilakukan tindakan koreksi.Background : Nowadays transcatheter intervention closure has been commonly done in acyanotic congenital heart diseases even though in some cases surgical closure are still needed. Long term evaluation in children with acyanotic congenital heart diseases such as cognitive function from different interventions especially after transcatheter intervention closure or surgical closure is limited. Therefore, we would like to evaluate the cognitive function of children with acyanotic congenital heart diseases who underwent transcatheter intervention closure compared to surgical closure, based on IQ test according to Wechsler scale and EEG result after intervention. Objective : To evaluate IQ score and EEG result after surgical closure and transcatheter intervention closure of acyanotic congenital heart diseases in children. Methods : A cross-sectional study was done to 4 -18 year old children with acyanotic congenital heart diseases who had surgical closure or transcatheter intervention closure. This study was undertaken in integrated cardiovascular services and pediatric neurology policlinic of Cipto Mangunkusumo National Hospital Jakarta since December 2018 until February 2019. Results : Seventy six children enrolled in the study. We found 55,4% normal FSIQ in surgical closure group and 44,6% normal FSIQ in transcatheter intervention closure group with p value 0,680. EEG examination showed 70,7% normal range in surgical closure group and 51,4% normal EEG in transcatheter intervention closure group with p value 0,084. Conclusion: There is no significant difference at IQ score and EEG result after cardiac surgical closure and transcatheter intervention closure of acyanotic congenital heart diseases in children. EEG examination is not needed before corrective intervention."