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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 (June 2010) DOI: /j.athoracsur 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 , DOI: ( /j.athoracsur ) 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 , DOI: ( /j.athoracsur ) 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 , DOI: ( /j.athoracsur ) 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 , DOI: ( /j.athoracsur ) Copyright © 2010 The Society of Thoracic Surgeons Terms and Conditions
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