Intraoperative transesophageal echocardiography of coronary artery fistulas
| Autor: | John P. McCloskey, Edward A. Rittenhouse, Gregory K. Sorensen, Dale G. Hall, Stanley J. Stamm, J. Geoffrey Stevenson |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Fistula Coronary Vessel Anomalies Coronary Angiography law.invention Intraoperative Period law Internal medicine medicine Cardiopulmonary bypass Humans Ventricular function business.industry Infant Coronary artery fistula medicine.disease Echocardiography Doppler Surgery Shunt (medical) medicine.anatomical_structure Coronary steal Child Preschool Cardiology Female Cardiology and Cardiovascular Medicine Ligation business Echocardiography Transesophageal Artery |
| Zdroj: | The Annals of Thoracic Surgery. 57:1217-1221 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/0003-4975(94)91360-9 |
| Popis: | Coronary artery fistula is a rare abnorm lity but one with substantial surgical importance, as operation abolishes the fistulous shunt volume, progressive coronary dilatation, and potential coronary steal. Prior reports emphasize the utility of direct inspection on cardiopulmonary bypass, with visualization of drainage of blood or cardioplegia from the fistulous connection, to define the drainage site. We report 3 patients in whom intraoperative transesophageal echocardiography was used for precise localization of the fistulous drainage site, selective demonstration of vessels feeding the fistulas, and documentation of abolition of fistuloua flow, all without need for cardiopulmonary bypass. In addition, the technique provides for continuous monitoring of ventricular function, providing the opportunity to detect inadvertent ischemic effects of ligation. This approach appears to have considerable utility. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|