scholarly journals Transesophageal Echocardiography for Tetralogy of Fallot Repair: What a Perioperative Physician need to know?

2014 ◽  
Vol 2 (2) ◽  
pp. 51-57
Author(s):  
Theresa A Tacy
Keyword(s):  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Additional Information ◽  
Intracardiac Repair ◽  
Residual Defect ◽  
New Findings ◽  
Intraoperative Management ◽  
Real Time Information ◽  
Time Information ◽  
Tetralogy Of Fallot Repair

ABSTRACT Transesophageal echocardiography (TEE) is now an integral part of intraoperative management of TOF patients undergoing intracardiac repair. With the availability of micro TEE probes, intraoperative TEE care can now be provided to even the smallest of patients. It provides live images of the anatomical and pathophysiological state of the heart and allows perioperative physicians to modify surgical and medical treatment perioperatively. During pre-bypass period, TEE confirms preoperative diagnosis and can provide additional information which might be missed on transthoracic echocardiography (TTE). It also helps in modifying intraoperative surgical plan if new findings are detected intraoperatively. In addition, real time information on volume status and inotropy helps in management of hemodynamics and preventing hypercyanotic spells in prebypass period. Adequacy of surgical repair can be assessed in immediate post-bypass period and any residual defect can be corrected before patient leaves the operating room. Post repair information on anatomical and pathophysiologic status helps guiding management in intensive care unit. How to cite this article Puri GD, Raj R, Tacy TA. Transesophageal Echocardiography for Tetralogy of Fallot Repair: What a Perioperative Physician need to know?. J Perioper Echocardiogr 2014;2(2):51-57.

Reliability of Intraoperative Transesophageal Echocardiography During Tetralogy of Fallot Repair

2000 ◽  
Vol 17 (4) ◽  
pp. 319-327 ◽  
Author(s):  
JAMES J. JOYCE ◽  
EUGENE Y. HWANG ◽  
HENRY B. WILES ◽  
CHARLES H. KLINE ◽  
SCOTT M. BRADLEY ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Intraoperative Transesophageal Echocardiography ◽  
Tetralogy Of Fallot Repair

Replacement of the aortic valve in tetralogy of Fallot prior to intracardiac repair—a case report

1992 ◽  
Vol 2 (2) ◽  
pp. 200-201 ◽  
Author(s):  
Giorgio M. Aru ◽  
Emiliano Cirio ◽  
Valentino Martelli
Keyword(s):  
Aortic Valve ◽  
Pulmonary Artery ◽  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Pulmonary Arteries ◽  
Jude Medical ◽  
Intracardiac Repair ◽  
Right Pulmonary Artery ◽  
The Right ◽  
Septic Thrombosis

AbstractA 21-year-old woman with tetralogy of Fallot, who had undergone a right Blalock-Taussig shunt at one year of age, developed endocarditis of the aortic valve. Septic thrombosis of the right pulmonary artery was diagnosed by intraoperative transesophageal echocardiography. Replacement of the aortic valve initially performed by a St. Jude Medical prosthesis, was unsuccessful due to immobilization of the valve occluder. Subsequent replacement of the St. Jude valve by a Carpentier-Edwards valve was uneventful. Thrombectomy and patch enlargement of the right pulmonary artery were also performed successfully. We suggest that the St. Jude Medical valve should be employed with caution for replacement of the aortic valve in patients with tetralogy of Fallot who have not undergone intracardiac repair. Transesophageal echocardiography is extremely useful in discovering undiagnosed associated lesion such as septic thrombosis of the pulmonary arteries.

Postoperative Trifascicular Block Complicating Tetralogy of Fallot Repair

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 236-242
Author(s):  
Steven M. Yabek ◽  
Jay M. Jarmakani ◽  
Nigel Roberts
Keyword(s):  
Tetralogy Of Fallot ◽  
Heart Block ◽  
Complete Heart Block ◽  
Young Girl ◽  
Conducting System ◽  
Gradual Improvement ◽  
Intracardiac Repair ◽  
Electrophysiological Studies ◽  
Tetralogy Of Fallot Repair

Transient and residual conduction defects, including early and late complete heart block, are not uncommon in children following the intracardiac repair of tetralogy of Fallot. The case of a young girl is described, in whom early, transient complete heart block was found to be due to trifascicular damage. Through serial electrophysiological studies, gradual improvement in the conducting system was documented, although residual trifascicular damage remained. It is believed that all children with evidence of residual trifascicular damage are subject to possibly fatal bradyarrhythmias due to late postoperative complete heart block.

scholarly journals Value of Intraoperative Transesophageal Echocardiography during tetralogy of Fallot repair

2018 ◽  
pp. 51-54
Author(s):  
О. С. Бородінова
Keyword(s):  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Preoperative Diagnosis ◽  
Septal Defect ◽  
Z Score ◽  
Muscular Ventricular Septal Defect ◽  
A Value ◽  
Intraoperative Transesophageal Echocardiography ◽  
Before And After ◽  
Tetralogy Of Fallot Repair

This study was performed to define a value of intraoperative transesophageal echocardiography (ITEE) during tetralogy of Fallot (ToF) repair. Methods. Intraoperatively 64 patients with ToF were examined by TEE before and after cardiopulmonary bypass (CPB). Results. All preoperative diagnosis were confirmed by ITEE, except two cases when ITEE excluded diagnosis of PA branches’ stenosis and one case when additional muscular ventricular septal defect was detected. Was revealed a strong correlation of PV annulus Z-score diameter by ITEE with intraoperative data (r=0,802; p<0.00001). Significant RVOTO was detected by ITEE in two patients (3,1%) and three patients (4,7%) underwent a reoperation on pulmonary branches due to ITEE data. Conclusions. ITEE imaging is a valuable, safe and accurate tool for anatomical, hemodynamic, and functional assessment during ToF repair.

scholarly journals Gerbode Defect following Tetralogy of Fallot Repair: The Role of Transesophageal Echocardiography

2017 ◽  
Vol 5 (2) ◽  
pp. 70-73
Author(s):  
Usha Kiran ◽  
Suruchi Ladha ◽  
Neeti Makhija ◽  
Uma Balasubramaniam ◽  
Velayoudam Devagourou
Keyword(s):  
Myocardial Infarction ◽  
Infective Endocarditis ◽  
Left Ventricle ◽  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Rare Type ◽  
Gerbode Defect ◽  
Shunt Closure ◽  
Tetralogy Of Fallot Repair

ABSTRACT Gerbode defect is a rare type of left ventricle (LV) to right atrium (RA) shunt. It is congenital in origin, but acquired cases are also described, usually following infective endocarditis, valve replacement, trauma, or myocardial infarction. We, hereby, report two cases of acquired Gerbode defect after tetralogy of Fallot (TOF) repair, and describe the role of echocardiography in the complete visualization of the anatomical defect, and in differentiation of this shunt from other conditions. The role of transesophageal echocardiography (TEE) is highlighted during reintervention for successful shunt closure. How to cite this article Ladha S, Balasubramaniam U, Kiran U, Makhija N, Devagourou V. Gerbode Defect following Tetralogy of Fallot Repair: The Role of Transesophageal Echocardiography. J Perioper Echocardiogr 2017;5(2):70-73.

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