Babu Saravana, Koniparambil Unnikrishnan P, Kumar Muthu, Radhakrishnan Bineesh K, Aggarwal Neelam, Nanda Saurabh
Department of Cardiothoracic and Vascular Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Department of Cardiothoracic and Vascular Surgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Ann Card Anaesth. 2017 Oct-Dec;20(4):472-474. doi: 10.4103/aca.ACA_176_16.
Iatrogenic injury to the aortic valve is a rare but frequently reported complication during mitral valve surgeries. Intraoperative 2-dimensional transesophageal echocardiography (2D TEE) has a major impact in diagnosing these injuries, so that timely intervention is possible. However, 2D TEE has lot of limitations during the perioperative period, which can be overcome by the three dimensional echocardiography (3D-TEE). We report a case where 3D TEE has undoubtedly delineated the cause for distortion of aortic sinus after mitral valve replacement and helped in the successful outcome.
医源性主动脉瓣损伤是二尖瓣手术中一种罕见但经常被报道的并发症。术中二维经食管超声心动图（2D TEE）对诊断这些损伤有重大影响，从而能够进行及时干预。然而，2D TEE在围手术期有很多局限性，而三维超声心动图（3D-TEE）可以克服这些局限性。我们报告一例3D TEE无疑地明确了二尖瓣置换术后主动脉窦变形的原因并促成成功结果的病例。
