Pediatric Cardiology

, Volume 34, Issue 8, pp 1911–1913 | Cite as

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

  • P. CostaEmail author
  • C. Moura
  • J. C. Areias
  • A. R. Sousa
Case Report


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.


Congenital heart surgery Intravascular echocardiography Transesophageal echocardiography 



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.

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)


  1. 1.
    Bruce CJ, O’Leary P, Hagler DJ et al (2002) Miniaturized transesophageal echocardiography in newborn infants. J Am Soc Echocardiogr 15:791–797CrossRefPubMedGoogle Scholar
  2. 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 117:702–703CrossRefPubMedGoogle Scholar
  3. 3.
    Chatrath R, Hagler JD (2004) Improved imaging of aortic coarctation using an intracardiac probe of transesophageal echocardiography. Tex Heart Inst J 31:194–195PubMedCentralPubMedGoogle Scholar
  4. 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 25:999–1003CrossRefPubMedGoogle Scholar
  5. 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 58:480–484PubMedCentralCrossRefPubMedGoogle Scholar
  6. 6.
    Orsini AN, Kolias TJ, Strelich K, Armstrong WF (2003) Feasibility of transesophageal echocardiography with a ten-French monoplane probe. J Am Soc Echocardiogr 16:682–687CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • P. Costa
    • 1
    Email author
  • C. Moura
    • 1
    • 2
  • J. C. Areias
    • 1
    • 2
  • A. R. Sousa
    • 3
  1. 1.Paediatric Cardiology DepartmentHospital São João EPEPortoPortugal
  2. 2.Porto Medical FacultyPorto UniversityPortoPortugal
  3. 3.Cardiothoracic Surgery DepartmentHospital São João EPEPortoPortugal

Personalised recommendations