Document Detail

Intraoperative transoesophageal echocardiography in a low birth weight neonate with atrioventricular septal defect.
MedLine Citation:
PMID:  14535917     Owner:  NLM     Status:  MEDLINE    
An 18-day-old male neonate (45 cm, 1.8 kg) with a history of cyanosis and congestive heart failure from an atrioventricular septal defect (AVSD) with a large left-to-right shunt was scheduled for surgical repair of the AVSD. After routine induction of anaesthesia with fentanyl and vecuronium, a 4.5-mm diameter transoesophageal echocardiography (TOE) probe was inserted into the oesophagus, and systematic echocardiographic evaluation was performed during surgery. After cardiopulmonary bypass was stopped, intraoperative TOE revealed mild residual mitral valve regurgitation. Because good left ventricular wall motion was confirmed and haemodynamic parameters were stable, cardiopulmonary bypass was not reinitiated. The patient's cardiac output was low in the postoperative intensive care unit. TOE was performed the next day to detect the source of this problem, revealed severe regurgitation compared with that observed intraoperatively. TOE was useful for evaluation of the residual mitral valve regurgitation, and we reconfirmed the importance of continuous monitoring even in a low birthweight neonate undergoing repair of a complete AVSD.
Shinji Kawahito; Hiroshi Kitahata; Katsuya Tanaka; Junpei Nozaki; Shuzo Oshita
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  13     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-10     Completed Date:  2004-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  735-8     Citation Subset:  IM    
Department of Anesthesiology, Tokushima University School of Medicine, Tokushima, Japan.
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MeSH Terms
Echocardiography, Transesophageal / methods*
Fatal Outcome
Heart Atria / ultrasonography
Heart Septal Defects / surgery*,  ultrasonography*
Heart Ventricles / ultrasonography
Infant, Low Birth Weight*
Infant, Newborn
Mitral Valve Insufficiency / ultrasonography
Monitoring, Intraoperative / methods*
Postoperative Complications / ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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