Kakadekar A P, Sandor G G, Patterson M W, LeBlanc J G
Department of Pediatrics, Royal University Hospital, University of Saskatchewan, Saskatoon, Canada.
Pediatr Cardiol. 1995 May-Jun;16(3):137-40. doi: 10.1007/BF00801913.
A 10-year-old patient has been followed for 10 years after repair of an aortic-left ventricular tunnel (ALVT) for residual aortic regurgitation and significant recurrent leak through the ALVT. Transesophageal echocardiography (TEE) was done prior to surgery and intraoperatively to (1) clarify the precise anatomy of the ALVT, (2) evaluate the degree of aortic regurgitation, and (3) assess the repair. Delineation of the anatomy of the ALVT and assessment of the residual aortic insufficiency helped with the intraoperative decision-making. We describe the TEE findings of a residual ALVT in this patient and discuss the role of TEE in managing the lesion.
一名10岁患者在主动脉-左心室隧道（ALVT）修复术后因残余主动脉瓣反流和通过ALVT的大量复发性漏血而被随访了10年。在手术前和术中进行了经食管超声心动图（TEE）检查，以（1）明确ALVT的精确解剖结构，（2）评估主动脉瓣反流程度，以及（3）评估修复情况。ALVT解剖结构的描绘和残余主动脉瓣关闭不全的评估有助于术中决策。我们描述了该患者残余ALVT的TEE检查结果，并讨论了TEE在处理该病变中的作用。
