title: Intraoperative localization and monitoring of migrating foreign body using transesophageal echocardiography.
abstract: Radiological imaging is often used for the preoperative localization of foreign body following blast injury, but their utility in case of migration during intra-operative period is limited. Transesophageal echocardiography (TEE) has been used for intra-operative localization and removal of intra-cardiac foreign body; however, reports for localization of extracardiac migrating foreign body are few. Preoperative radiological imaging, in a victim of factory blast-injury, suggested foreign body in the posterior mediastinum. However, the intra-operative TEE showed it in the left atrium, which later migrated into the left ventricle necessitating a change in surgical approach for its removal.
authors.affiliation: Department of Anaesthesia and Intensive Care, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: Bhupesh
authors.initials: B
authors.lastname: Kumar
authors.forename: Ashok Kumar
authors.initials: AK
authors.lastname: Badamali
authors.forename: Aveek
authors.initials: A
authors.lastname: Jayant
authors.forename: Ishwar
authors.initials: I
authors.lastname: Bhukal
authors.forename: Goverdhan D
authors.initials: GD
authors.lastname: Puri
mesh_terms: D000328:Adult; D001753:Blast Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging* / Q000601:surgery*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006352:Heart Ventricles / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D016343:Monitoring, Intraoperative / Q000379:methods*