Intraoperative myocardial ischemia recognized by transesophageal echocardiography monitoring in the pediatric population: a report of 3 cases.
We used continuous intraoperative transesophageal echocardiography (TEE) monitoring to detect intraoperative myocardial ischemia in children after they had been weaned from cardiopulmonary bypass for cardiac surgery. Three pediatric patients are described here to illustrate the usefulness of such TEE monitoring in surgical procedures involving coronary arteries. The indications for intraoperative TEE monitoring and a simplified scheme for immediate qualitative interpretation are discussed.
Balaguru
D
D
Pediatric Cardiology Program and the Division of Cardiovascular Surgery, New York University Medical Center, New York, NY 10016, USA.
Auslender
M
M
Colvin
S B
SB
Rutkowski
M
M
Artman
M
M
Phoon
C K
CK
D000293:Adolescent; D001022:Aortic Valve Insufficiency / Q000601:surgery; D006348:Cardiac Surgical Procedures; D003330:Coronary Vessel Anomalies / Q000601:surgery; D003331:Coronary Vessels / Q000601:surgery; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007431:Intraoperative Complications / Q000000981:diagnostic imaging*; D008297:Male; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging*; D014188:Transposition of Great Vessels / Q000601:surgery