经食管超声心动图在动脉调转术后心电图改变之前早期检测心肌缺血中的作用。
Role of transesophageal echocardiography in early detection of myocardial ischemia before electrocardiography changes post arterial switch operation.
作者信息
Negi Sunder L, Chakorvarthy Loganathan, Gowda Nischita, Kumar Rupesh
机构信息
Department of Anaesthesia and Intensive Care, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Department of Cardiothoracic and Vascular Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
出版信息
Ann Card Anaesth. 2023 Oct-Dec;26(4):451-453. doi: 10.4103/aca.aca_161_22.
Myocardial ischemia after arterial switch operation is most commonly associated with imperfect translocation of coronary arteries to the neoaorta. Early post-operative myocardial ischemia is the main cause of morbidity and mortality in these patients. We present a rare case of intra-operative myocardial ischemia after ASO, detected with transesophageal echocardiography before electrocardiography changes.
动脉调转手术后的心肌缺血最常与冠状动脉向新主动脉的移位不完善有关。术后早期心肌缺血是这些患者发病和死亡的主要原因。我们报告了1例动脉调转手术后术中发生心肌缺血的罕见病例，该病例在心电图改变之前经食管超声心动图检测到。
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