De Marchi Lorenzo, Lee Janice, Rawtani Nina, Nguyen Vinh
1 MedStar Georgetown University Hospital, Washington, DC, USA.
Semin Cardiothorac Vasc Anesth. 2018 Jun;22(2):146-149. doi: 10.1177/1089253218757032. Epub 2018 Feb 9.
Supported by a growing number of studies and case reports in the literature, perioperative use of TEE in non-cardiac cases has significantly increased the past two decades. The utility of TEE in monitoring hemodynamic, and diagnosing causes of hypotension refractory to conventional therapy, have made it an almost indispensible tool during major surgeries, such liver transplantation. Despite this fact, compared to the adult population, there is a lack of an equivalent amount of literature on the perioperative use of TEE in pediatric cases. In our case we report the utilization of TEE during a pediatric liver transplant, to diagnose a post reperfusion suprahepatic anastomosis stricture. In this case, the cooperation of the anesthesia, the surgical, and the cardiology teams, helped in resolving the case, allowing a positive outcome for the patient. To our knowledge, this is the first case describing the use of TEE during a pediatric liver transplant.
在文献中越来越多的研究和病例报告的支持下，过去二十年来，非心脏手术围手术期经食管超声心动图（TEE）的使用显著增加。TEE在监测血流动力学以及诊断常规治疗难以纠正的低血压原因方面的效用，使其成为诸如肝移植等大型手术中几乎不可或缺的工具。尽管如此，与成人患者相比，关于小儿病例围手术期使用TEE的文献数量相对较少。在我们的病例中，我们报告了在小儿肝移植手术中使用TEE诊断再灌注后肝上吻合口狭窄的情况。在该病例中，麻醉、外科和心脏科团队的协作有助于解决问题，使患者获得了良好的预后。据我们所知，这是第一例描述小儿肝移植手术中使用TEE的病例。
