Transnasal placement of biplane transesophageal echocardiography probe intraoperatively in an adolescent with congenital heart disease.
Intraoperative transesophageal echocardiography (TEE) is frequently used in children with congenital heart disease (CHD). Although transnasal TEE is being used in various settings in the adult population, there are no descriptions of its use intraoperatively in patients with CHD. This report describes the successful use of transnasal TEE after multiple unsuccessful transoral attempts in an adolescent male undergoing subaortic stenosis repair.


CONCLUSIONS
Transnasal transesophageal echocardiography (TEE) is being used in various settings in the adult population. The author describes its use intraoperatively in an adolescent undergoing surgery for congenital heart disease after unsuccessful transoral attempts.
Aronson
Lori A
LA
From the Department of Anesthesia, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
D000293:Adolescent; D000769:Anesthesia, Inhalation; D001021:Aortic Valve / Q000000981:diagnostic imaging; D006348:Cardiac Surgical Procedures; D021922:Discrete Subaortic Stenosis / Q000601:surgery; D017548:Echocardiography, Transesophageal / Q000379:methods*; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative; D016277:Ventricular Function, Left / Q000502:physiology