PubMed · 6694425
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N H Fishman. 1984. Interrupted aortic arch.. https://pubmed.ncbi.nlm.nih.gov/6694425/
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The radiologic evaluation of neonatal chest masses may be carried out with a number of different imaging modalities, each with distinct advantages and disadvantages. While it is necessary clinically to rapidly and accurately diagnose these lesions, this may be difficult when the neonate is critically ill. We report the use of spiral (helical) CT (SCT) scanning with reconstructed images to diagnose chest masses in two critically ill neonates undergoing oscillating ventilation. We describe the technique used to image the masses and compare this technique with other available imaging modalities.
An infant with truncus arteriosus, total anomalous pulmonary venous return of the supracardiac type and interrupted aortic arch distal to the left subclavian artery is presented. One-stage repair was performed in the newborn period using a 12-mm aortic homograft. Recovery was complicated by congenital stenosis of the left main bronchus. The cardiovascular status remains stable 2 years after repair.
TEE has assumed a pivotal role in the perioperative management of patients undergoing open-heart surgery. The information obtained influences important therapeutic decisions in thoracic aortic surgery, valvular surgery, and coronary artery bypass surgery. TEE also assists in determining the reason for failure to wean from cardiopulmonary bypass and allows rapid detection of the etiology of hypotension in the patient after surgery. Advances in technology have resulted in three-dimensional images of cardiac structures, and this will further enhance the usefulness of echocardiography for the surgeon. TEE should no longer be regarded as an imaging tool available only in academic centers, but should be routinely used by qualified operators in centers performing open-heart surgery.