The importance of intraoperative transesophageal echocardiography in totally endoscopic atrial septal defect repair with robotic assistance
- VernacularTitle:术中经食管超声心动图在全机器人房间隔缺损修补术中的作用
- Author:
Yao WANG
;
Changqing GAO
;
Gang WANG
;
Jiali WANG
;
Cangsong XIAO
;
Ming YANG
;
Jiachun LI
- Publication Type:Journal Article
- Keywords:
Echocardiography,transesophageal;
Heart septal defects,atrial;
Surgical procedures,minimally invasive
- From:
Chinese Journal of Ultrasonography
2008;17(6):461-464
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the importance of intraoperatlVe transesophageal echocardlography(TEE) in totally endoscopic atrial septal defect(ASD)repair.Methods Twenty four patients underwent repair of ASD by a totally endoscopic approach，utilizing the da Vinci S robotic system.After induction of general anesthesia and a left-sided double-lumen endotracheal tube was positioned，a TEE probe was inserted.①Before cardiopulmonary bypass(CPB)，TEE examination was conducted to document the types and size of ASD.The procedures were predetermined by the operator according to the TEE diagnosis.②CPB was achieved peripherally.With TEE guidance，a 19-or 21-Fr.femoral venous cannula was inserted into the right common femoral vein and passing it into the inferior vena cava(IVC)，with its tip just inferior to the IVC-right atrium junction；a 15-or 17-Fr.femoral arterial eannula was placed percutaneously into the right internal jugular vein and passed into the superior vena cava(SVC).The bypass circuit was completed by inserting a 14G arterial perfusion cannula into the ascending aorta(AAO)，with its distal tip passing over the center of the AAO，approximately 3 cm from the aortic valve.③ After weaning from CPB，TEE examination was performed again.Results①Surgical confirmation was obtained in all the patients and no operative procedures were changed.②All venous，arterial and arterial perfusion cannula were located in correct position.③In all patients，TEE after weaned from CPB confirmed successful repair.Conclusions Intraoperative TEE is essential for totally endoscopic ASD repair.
