On-Table Verification of Aortopulmonary Shunt Patency Through Ipsilateral Pulmonary Venous Blood Flow Assessment by Transesophageal Echocardiography.

Abstract

Intraoperative transesophageal echocardiography is a well-established modality for the evaluation of the adequacy of the surgical repair of complex congenital heart lesions. This case report highlights the important role played by real-time transesophageal echocardiography during the evaluation of the patency of a left modified Blalock-Taussig shunt in a child with pulmonary atresia, nonconfluent pulmonary arteries, and borderline hemodynamic/ventilator parameters. Changes observed in the pulmonary venous blood flow pattern provided reassurance to the surgical team about the patency of the shunt and thereby avoided its reconstruction.

• Authors: Madan Mohan Maddali, Amr Mohamed Abolwafa, Andrew Campbell
• Journal: Journal of cardiothoracic and vascular anesthesia (J Cardiothorac Vasc Anesth) Vol. 35 Issue 7 Pg. 2124-2127 (Jul 2021) ISSN: 1532-8422 [Electronic] United States
• PMID: 32921609 (Publication Type: Case Reports)
• Copyright: Copyright © 2020 Elsevier Inc. All rights reserved.

Topics

• Blalock-Taussig Procedure
• Child
• Echocardiography
• Echocardiography, Transesophageal
• Heart Defects, Congenital (diagnostic imaging, surgery)
• Humans
• Infant
• Pulmonary Artery (diagnostic imaging, surgery)
• Pulmonary Circulation