Detection of intra-atrial conduit leakage by transesophageal echocardiography.
A 19-year-old male patient who had undergone total cavo-pulmonary connection for complex congenital cyanotic heart disease with partial anomalous pulmonary venous return, was found to have persistent postoperative cyanosis. Transesophageal echocardiography disclosed leakage of the intra-atrial Gortex conduit with a right-to-left shunt. Prompt re-do operation confirmed the site of the leakage which was successfully repaired. Intraoperative transesophageal echocardiography may be indicated so as to avoid a secondary open-chest procedure for this complication.
Wang
T L
TL
Department of Internal Medicine, National Taiwan University Hospital, Taipei, ROC.
Lai
L P
LP
Kuan
P
P
D000328:Adult; D001807:Blood Vessel Prosthesis; D004310:Double Outlet Right Ventricle / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000000981:diagnostic imaging* / Q000601:surgery; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging / Q000601:surgery; D014683:Vena Cava, Superior / Q000000981:diagnostic imaging / Q000601:surgery