Changes in surgical conduct due to the results of intraoperative transesophageal echocardiography.
نویسنده
چکیده
BACKGROUND AND OBJECTIVES Transesophageal echocardiography (TEE) is extremely useful in surgeries like valvuloplasty, of the thoracic aorta, and correction of congenital cardiopathies. The low degree of invasiveness and the capacity to aggregate information that can change the course of the surgery are among the advantages of TEE. The objective of this report was to present a case in which the surgical conduct was changed due to a new diagnosis provided by intraoperative transesophageal echocardiography, and to emphasize the importance of using the transesophageal echo in surgeries to correct congenital cardiopathies. CASE REPORT A 28-year old female, ASA II, with a history of dyspnea progressing from medium to small efforts was referred by another department for elective surgical correction of stenosis of the pulmonary valve diagnosed by transthoracic echocardiography. Intraoperative transesophageal echocardiography showed patent foramen ovale, infundibular stenosis of the right ventricular outlet, and perimembranous subaortic interventricular communication (IVC) of 0.4 cm with left to right shunt. After beginning ECC, the above mentioned diagnoses were confirmed and the surgery included closure of the foramen ovale and IVC, and resection of the infundibular stenosis. Intraoperative intercurrences were not observed and the patient was intubated when she was transferred to the intensive care unit. CONCLUSIONS Transesophageal echocardiography is extremely useful in patients undergoing surgical correction of congenital cardiopathies because, besides helping the hemodynamic management, it can provide new information capable of improving the final result of the surgery.
منابع مشابه
The anesthesiologist and the intraoperative transesophageal echocardiography.
I would like the opportunity provided by the article “Changes in Surgical Conduct Due to the Intraoperative Transesophageal Echocardiography” – Sílvio AA et al. 1 – published recently by Revista Brasileira de Anestesiologia to stimulate the discussion regarding the real involvement of the Anesthesiologist in the use of intraoperative transesophageal echocardiography in our country. Countries su...
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ورودعنوان ژورنال:
- Revista brasileira de anestesiologia
دوره 60 6 شماره
صفحات -
تاریخ انتشار 2010