Skip to main content
Log in

Intraoperative Transesophageal Echocardiogram Using an Intracardiac Ultrasound Catheter in a Congenital Heart Surgery: A Case Report

  • Case Report
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript

Abstract

Transesophageal echocardiography (TEE) during cardiac surgery is a routine procedure. The use of pediatric TEE probes is limited in small infants weighing less than 5 kg. Recent reports have shown the safety of monoplane intravascular ultrasound catheters in transesophageal echocardiograms. This report describes the case of a newborn with total anomalous pulmonary venous return who underwent cardiac surgery. A pre- and postbypass TEE examination was performed, with successful visualization of the cardiac anatomy and function and no complications.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Bruce CJ, O’Leary P, Hagler DJ et al (2002) Miniaturized transesophageal echocardiography in newborn infants. J Am Soc Echocardiogr 15:791–797

    Article  PubMed  Google Scholar 

  2. Cannesson M, Hénaine R, Metton O, Védrinne C, Delanoy B et al (2008) Intraoperative transesophageal echocardiography using a miniaturized transducer in a neonate undergoing norwood procedure for hypoplastic left heart syndrome. Circulation 117:702–703

    Article  PubMed  Google Scholar 

  3. Chatrath R, Hagler JD (2004) Improved imaging of aortic coarctation using an intracardiac probe of transesophageal echocardiography. Tex Heart Inst J 31:194–195

    PubMed Central  PubMed  Google Scholar 

  4. Drinker LR, Camitta MGW, Herlong JR, Miller S, Lodge AJ, Jaggers J et al (2008) Use of the monoplane intracardiac imaging probe in high-risk infants during congenital heart surgery. Echocardiography 25:999–1003

    Article  PubMed  Google Scholar 

  5. Kim H-J, Kim J-Y, Baek S-H, Kim H-K (2010) Intravascular ultrasound catheter for transesophageal echocardiography in congenital heart surgery: a case report. Korean J Anesthesiol 58:480–484

    Article  PubMed Central  PubMed  Google Scholar 

  6. Orsini AN, Kolias TJ, Strelich K, Armstrong WF (2003) Feasibility of transesophageal echocardiography with a ten-French monoplane probe. J Am Soc Echocardiogr 16:682–687

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors acknowledge Dr. Jorge Almeida for his contribution to the development of TEE in the Paediatric Cardiology Department and Eng. Pedro Alves (Siemens Portugal), who enabled the purchase of the equipment used in this study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to P. Costa.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Movie clip 1. Preoperative transesophageal echocardiogram (midesophageal view). The flow from the coronary sinus enters the right atrium (MOV 596 kb)

Movie clip 2. Preoperative transesophageal echocardiogram (midesophageal view). The flow from the coronary sinus enters the right atrium. An interatrial communication with right-to-left shunting is seen (MOV 1373 kb)

Movie clip 3. Postoperative transesophageal echocardiogram. The coronary sinus flow was directed to the left atrium, and the interatrial communication was closed with an autologous pericardial patch (MOV 1359 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Costa, P., Moura, C., Areias, J.C. et al. Intraoperative Transesophageal Echocardiogram Using an Intracardiac Ultrasound Catheter in a Congenital Heart Surgery: A Case Report. Pediatr Cardiol 34, 1911–1913 (2013). https://doi.org/10.1007/s00246-012-0456-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00246-012-0456-8

Keywords

Navigation