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Right main bronchus obstruction caused by transesophageal echocardiography probe in a pediatric patient during complete repair of tetralogy of fallot


1 Department of Cardiac Anaesthesia, CN Centre, AIIMS, New Delhi, India
2 Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Prabhat Tewari
Department of Anaesthesiology, SGPGIMS, Lucknow - 226014, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_87_19

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Year : 2021  |  Volume : 24  |  Issue : 3  |  Page : 402-404

 

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Intraoperative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for the repair of congenital heart lesions. Its ability to be used intraoperatively before and after cardiac repair makes it a unique tool. Although it is generally a safe procedure, due to the relatively large size and rigid nature of TEE probes airway complications, inadvertent extubation and insertion failures have been reported to occur predominantly in smaller patients (mean weight <7.15 kg). We would like to describe a case of complete correction of Tetralogy of Fallot in which intraoperative TEE resulted in right main bronchus compression.






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1 Department of Cardiac Anaesthesia, CN Centre, AIIMS, New Delhi, India
2 Department of Anaesthesiology, SGPGIMS, Lucknow, Uttar Pradesh, India

Correspondence Address:
Prabhat Tewari
Department of Anaesthesiology, SGPGIMS, Lucknow - 226014, Uttar Pradesh
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_87_19

Rights and Permissions

Intraoperative trans-esophageal echocardiography (TEE) is an important monitoring and diagnostic tool used during surgery for the repair of congenital heart lesions. Its ability to be used intraoperatively before and after cardiac repair makes it a unique tool. Although it is generally a safe procedure, due to the relatively large size and rigid nature of TEE probes airway complications, inadvertent extubation and insertion failures have been reported to occur predominantly in smaller patients (mean weight <7.15 kg). We would like to describe a case of complete correction of Tetralogy of Fallot in which intraoperative TEE resulted in right main bronchus compression.






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