Surgery for ruptured sinus of valsalva aneurysm into right ventricular outflow tract: role of intraoperative 2D and real time 3D transesophageal echocardiography.
A major limitation of the 2D echocardiography during surgery for a complex cardiac lesion is its inability to provide an accurate spatial orientation of the structure. The real time 3D transesophageal echocardiography (RT-3D-TEE) technology available in Philips IE 33 ultrasound machine is relatively new to an operation suite. We evaluated its intraoperative utility in a patient, who was operated for repair of a ruptured sinus of Valsalva aneurysm (RSOVA) and closure of a supracristal ventricular septal defect. The VSD and RSOVA were visualized through different virtual windows in a more promising way on intraoperative RT-3D-TEE than on the 2D echocardiography. The acquired images could be virtually cropped and displayed in anatomical views to the operating surgeon for a clear orientation to the anatomy of the lesion. RT-3D-TEE is a potential intraoperative monitoring tool in surgeries for complex cardiac lesions.
Department of Anesthesia, Sree Chitra Tirunal Institute For Medical Sciences and Technology, Trivandrum, Kerala, India. shri@sctimst.ac.in
Shrinivas
S
Gadhinglajkar
Rupa
R
Sreedhar
D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging* / Q000601:surgery*; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery*; D003199:Computer Systems; D019560:Echocardiography, Three-Dimensional / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D012850:Sinus of Valsalva / Q000000981:diagnostic imaging* / Q000601:surgery; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D055815:Young Adult