致命性室性心律失常作为经食管超声心动图检查的一种并发症。
Fatal ventricular arrhythmia as a complication of transesophageal echocardiography.
作者信息
Goland Sorel, Shimoni Sara, Attali Malka, Somin Marina, Azoulai Orly, Caspi Avraham, Malnick Stephen D H
机构信息
Heart Institute, Kaplan Medical Center, Rehovot 76100, Israel.
出版信息
Eur J Echocardiogr. 2005 Mar;6(2):151-3. doi: 10.1016/j.euje.2004.08.006.
AIM
To report a case of serious ventricular arrhythmia during transesophageal echocardiography.
METHODS AND RESULTS
A 58-year-old woman with previous mitral and tricuspid valve replacement and permanent pacemaker implantation suffered from recurrent fever and Staphylococcus aureus bacteremia. Transesophageal echocardiography was performed as part of the assessment for infective endocarditis. During this procedure the patient developed sustained ventricular tachycardia and subsequently ventricular flutter. She was successfully resuscitated. Subsequently the procedure was undertaken under general anesthesia with no complications.
CONCLUSION
The increasing use of TEE in a wider spectrum of patients, many of whom are seriously ill, may result in serious side-effects.
目的
报告1例经食管超声心动图检查期间发生严重室性心律失常的病例。
方法与结果
一名58岁女性，既往有二尖瓣和三尖瓣置换术及永久性起搏器植入史，出现反复发热和金黄色葡萄球菌菌血症。经食管超声心动图检查作为感染性心内膜炎评估的一部分进行。在此过程中，患者出现持续性室性心动过速，随后发展为心室扑动。她成功复苏。随后在全身麻醉下进行该检查，未出现并发症。
结论
经食管超声心动图（TEE）在越来越多病情严重的患者中应用，可能会导致严重的副作用。
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