García-Cruz Edgar, Manzur-Sandoval Daniel, Martínez Daniel Sierra-Lara, Gopar-Nieto Rodrigo, Jordán-Ríos Antonio, Díaz-Méndez Arturo, Lazcano-Díaz Emmanuel, Rojas-Velasco Gustavo, Baranda-Tovar Francisco
Cardiovascular Critical Care Unit, National Institute of Cardiology Ignacio Chávez, Mexico City, Mexico.
Coronary Care Unit, National Institute of Cardiology Ignacio Chávez, Mexico City, Mexico.
J Cardiovasc Echogr. 2022 Jan-Mar;32(1):1-5. doi: 10.4103/jcecho.jcecho_9_21. Epub 2022 Apr 21.
The use of transesophageal echocardiography (TEE) is controversial in patients with COVID-19. The aim of this case series was to demonstrate the usefulness of transesophageal echocardiography in acute cardiovascular care settings in patients with COVID-19 infection.
We enrolled 13 patients with confirmed SARS-CoV-2 infection admitted to the critical care unit of our center from April 1, 2020, to July 30, 2020, in which transesophageal echocardiography was performed. TOE was performed by three cardiologists with training in echocardiography.
The main indication was suspected infective endocarditis in four cases, venovenous extracorporeal membrane oxygenation cannulation in four cases, suspected prosthetic mitral valve dysfunction in two patients, suspected pulmonary embolism in two patients, and acute right ventricular dysfunction and prone position ventilation in one patient. The final diagnosis was confirmed in 11 patients and discarded in 2 patients. None of the operators result infected.
TOE is safe in the context of COVID-19 infection; it must be performed in well-selected cases and in a targeted manner.
经食管超声心动图（TEE）在新型冠状病毒肺炎（COVID-19）患者中的应用存在争议。本病例系列的目的是证明经食管超声心动图在COVID-19感染患者的急性心血管护理环境中的有用性。
我们纳入了2020年4月1日至2020年7月30日期间入住我们中心重症监护病房的13例确诊SARS-CoV-2感染患者，对其进行了经食管超声心动图检查。经食管超声心动图检查由三名接受过超声心动图培训的心脏病专家进行。
主要适应证为4例疑似感染性心内膜炎、4例静脉-静脉体外膜肺氧合插管、2例疑似人工二尖瓣功能障碍、2例疑似肺栓塞以及1例急性右心室功能障碍和俯卧位通气。11例患者确诊，2例患者排除。所有操作人员均未感染。
在COVID-19感染的情况下，经食管超声心动图检查是安全的；必须在精心挑选的病例中并有针对性地进行。
