| Intraoperative transoesophageal echocardiography in a low birth weight neonate with atrioventricular septal defect. | |
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MedLine Citation:
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PMID: 14535917 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Shinji Kawahito; Hiroshi Kitahata; Katsuya Tanaka; Junpei Nozaki; Shuzo Oshita |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Paediatric anaesthesia Volume: 13 ISSN: 1155-5645 ISO Abbreviation: Paediatr Anaesth Publication Date: 2003 Oct |
Date Detail:
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Created Date: 2003-10-10 Completed Date: 2004-04-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
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Languages: eng Pagination: 735-8 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology, Tokushima University School of Medicine, Tokushima, Japan. kawahito@clin.med.tokushima-u.ac.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Echocardiography, Transesophageal
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methods* Fatal Outcome Heart Atria / ultrasonography Heart Septal Defects / surgery*, ultrasonography* Heart Ventricles / ultrasonography Humans Infant, Low Birth Weight* Infant, Newborn Male 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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