Erdemli Özcan, Ayik İhsan, Karadeniz Ümit, Yamak Bülent, Levent Birincioğlu Cemal, Çağlar Kubilay
*Department of Anesthesiology and Reanimation and †Cardiovascular Surgery, Türkiye Yüksek İhtisas Hospital, Sihhiye-Ankara.
Anesth Analg. 2003 Sep;97(3):650-653. doi: 10.1213/01.ANE.0000078580.22176.B0.
We describe a 45-yr-old woman with an intermediate type atrioventricular septal defect associated with a double-orifice left atrioventricular valve (DOLAV). We diagnosed this exceptional anomaly by intraoperative transesophageal echocardiography (TEE) during surgery that was scheduled for only a primum type atrial septal defect (ASD) repair. Preoperative transthoracic echocardiography and angiography revealed the ASD but could not demonstrate the DOLAV. We were able to repair this rare and challenging abnormality successfully under the guidance of TEE imaging during the operation. TEE provides valuable information about both anatomy and functional aspect of the valvular structures. Besides its proven role in cardiac surgery, intraoperative use of TEE also serves as a useful tool for diagnosis of such unexpected and potentially missed abnormalities.
我们描述了一名45岁女性，患有中间型房室间隔缺损，合并双孔二尖瓣（DOLAV）。我们在仅计划进行原发孔型房间隔缺损（ASD）修复的手术中，通过术中经食管超声心动图（TEE）诊断出了这种罕见的异常情况。术前经胸超声心动图和血管造影显示了ASD，但未能显示出DOLAV。在手术过程中，我们能够在TEE成像的引导下成功修复这种罕见且具有挑战性的异常情况。TEE提供了有关瓣膜结构的解剖和功能方面的有价值信息。除了在心脏手术中已证实的作用外，术中使用TEE还是诊断此类意外且可能被漏诊的异常情况的有用工具。
