Bonato R, Pittarello D, Armellin G, Scalia D, Sorbara C
Istituto di Anestesiologia e Rianimazione, Università degli Studi, Padova.
Minerva Anestesiol. 2000 Sep;66(9):661-4.
The intraoperative use of two-dimensional transesophageal echocardiography has proved effective in the evaluation of left ventricular function after heart operations, in the assessment of adequacy of valve replacement or repair techniques, and in the detection of intracardiac air bubbles before discontinuation of cardiopulmonary bypass. We report here a patient in whom the presence of a tumor mass in the left leaflet of the aortic valve, which was missed at preoperative transthoracic echocardiogram and would have most likely been the cause of systemic embolization, was diagnosed by two-dimensional transesophageal echocardiographic monitoring. We hope that this experience may support the use of two-dimensional transesophageal echocardiography during cardiac surgery.
术中使用二维经食管超声心动图已被证明在评估心脏手术后的左心室功能、评估瓣膜置换或修复技术的充分性以及在体外循环停止前检测心内气泡方面是有效的。我们在此报告一例患者，术前经胸超声心动图未发现主动脉瓣左叶有肿瘤块，而该肿瘤块很可能是系统性栓塞的原因，通过二维经食管超声心动图监测得以诊断。我们希望这一经验能够支持在心脏手术中使用二维经食管超声心动图。
