Initial experience with a miniaturized multiplane transesophageal probe in small infants undergoing cardiac operations.
Ann Thorac Surg
; 89(6): 1990-4, 2010 Jun.
Article
em En
| MEDLINE
| ID: mdl-20494062
ABSTRACT
PURPOSE:
There has been reluctance to use intraoperative transesophageal echocardiography (TEE) in small infants. We assessed the utility and safety of a new miniaturized multiplane micro-TEE probe in small infants undergoing cardiac operations. DESCRIPTION Hemodynamic and ventilation variables were prospectively recorded before and after micro-TEE insertion and removal in infants weighing 5 kg or less undergoing cardiac operations. EVALUATION The study included 42 patients with a mean weight of 3.6 +/- 0.9 kg (range, 1.7 to 5 kg). All probe insertions were successful. There were no complications or clinically significant changes in hemodynamic or ventilation variables. Information provided by TEE resulted in surgical revision in 6 of the 42 patients.CONCLUSIONS:
The micro-TEE provides high quality, useful diagnostic images without hemodynamic or ventilation compromise in small infants undergoing cardiac operations. This advance is important with the growing trend towards complete repair of complex structural heart disease in small infants.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ecocardiografia Transesofagiana
/
Procedimentos Cirúrgicos Cardíacos
/
Miniaturização
Tipo de estudo:
Observational_studies
Limite:
Humans
/
Infant
/
Newborn
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article