Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations Sinai C. Zyblewski, MD, Girish.

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Presentation transcript:

Initial Experience With a Miniaturized Multiplane Transesophageal Probe in Small Infants Undergoing Cardiac Operations Sinai C. Zyblewski, MD, Girish S. Shirali, MBBS, Geoffrey A. Forbus, MD, Tain-Yen Hsia, MD, Scott M. Bradley, MD, Andrew M. Atz, MD, Meryl S. Cohen, MD, Eric M. Graham, MD The Annals of Thoracic Surgery Volume 89, Issue 6, Pages 1990-1994 (June 2010) DOI: 10.1016/j.athoracsur.2010.01.088 Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Dimensions of the micro-multiplane transesophageal echocardiography probe. The Annals of Thoracic Surgery 2010 89, 1990-1994DOI: (10.1016/j.athoracsur.2010.01.088) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This image was obtained in a 3-month-old, 5-kg infant with atrioventricular septal defect and severe left-sided atrioventricular valve regurgitation. In addition to closing the cleft, the surgeon created a double-orifice left atrioventricular valve. This 60° image of the surgically created double-orifice mitral valve demonstrates prograde flow thorough both orifices. (LA = left atrium; LV = left ventricle.) The Annals of Thoracic Surgery 2010 89, 1990-1994DOI: (10.1016/j.athoracsur.2010.01.088) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Simultaneous (A) 2-dimensional and (B) color-flow Doppler images are shown in a 1-week-old, 3.7-kg infant undergoing repair of truncus arteriosus. There is right to left flow across the ventricular septal defect (asterisk). Note the very short-segment of the main pulmonary artery arising from the truncal root (T), before bifurcating into the right (R) and left (L) pulmonary arteries. (LA = left atrium; RV = right ventricle.) The Annals of Thoracic Surgery 2010 89, 1990-1994DOI: (10.1016/j.athoracsur.2010.01.088) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Simultaneous (A) 2-dimensional and (B) color-flow Doppler images are shown in a 3-week-old, 2.8-kg neonate undergoing repair of a membranous ventricular septal defect. Preoperative transthoracic imaging raised concerns for potential tricuspid valve straddling. Transesophageal imaging demonstrated no chordal tissues crossed the ventricular septum, and a complete repair was performed. Notice the redundant tricuspid valve tissue obscuring the defect on 2-dimensional imaging; however, the defect is clearly seen with color Doppler (black asterisk). There is mild nonobstructive anterior malalignment of the infundibular septum (white asterisk). (AO = aorta; PA = pulmonary artery; RV = right ventricle.) The Annals of Thoracic Surgery 2010 89, 1990-1994DOI: (10.1016/j.athoracsur.2010.01.088) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions