Role of transesophageal echocardiography in early detection of myocardial ischemia before electrocardiography changes post arterial switch operation.

经食管超声心动图在动脉转换术后心电图改变前早期发现心肌缺血中的作用。

• 发表时间: 2023 Oct-Dec
• 来源期刊: Ann Card Anaesth
• DOI: 10.4103/aca.aca_161_22
• PMID: 37861584
• 文章类型: Case Reports
• 作者列表: Negi SL,Chakorvarthy L,Gowda N,Kumar R

关键词: Arterial switch operation; regional wall motion abnormality; transesophageal echocardiography

Mesh: Humans; Echocardiography, Transesophageal; Arterial Switch Operation; Myocardial Ischemia / diagnostic imaging; Electrocardiography; Coronary Artery Disease; Transposition of Great Vessels / diagnostic imaging surgery

Abstract

Myocardial ischemia after arterial switch operation is most commonly associated with imperfect translocation of coronary arteries to the neoaorta. Early post-operative myocardial ischemia is the main cause of morbidity and mortality in these patients. We present a rare case of intra-operative myocardial ischemia after ASO, detected with transesophageal echocardiography before electrocardiography changes.

摘要

动脉转换手术后的心肌缺血通常与冠状动脉向新主动脉的不完全易位有关。术后早期心肌缺血是这些患者发病和死亡的主要原因。我们提出了一个罕见的ASO术后术中心肌缺血的病例，心电图改变前经食管超声心动图检测。