The Assessment of the Proximal Left Pulmonary Artery by Transesophageal Echocardiography and Computed Tomography in Neonates and Infants: A Case Series

@article{Tsai2001TheAO,
  title={The Assessment of the Proximal Left Pulmonary Artery by Transesophageal Echocardiography and Computed Tomography in Neonates and Infants: A Case Series},
  author={Shen kou Tsai and C I Chang and M J Wang and S J Chen and Ing-Sh Chiu and Y S Chen and Hung-Chi Lue},
  journal={Anesthesia \& Analgesia},
  year={2001},
  volume={93},
  pages={594–597}
}
IMPLICATIONS Transesophageal echocardiography (TEE) is often used during surgical repair of congenital heart disease. In our case series of 256 newborns and infants, we found that a left paracarinal view of TEE could visualize the proximal left pulmonary artery, a frequent blind spot for TEE, in most patients, except in a few cases with anatomic variations of the esophagus in the right lateral to the vertebra. 
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This chapter presents a suggested methodology for a comprehensive, systematic, and segmental approach to the TEE evaluation of the cardiovascular system—one that is particularly applicable for the evaluation of a patient with known or suspected CHD.
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The safety associated with the use of TOE is considered, the suggested contra-indications and areas that would consider to TOE to be a necessity are reviewed and two case reports highlight the need for vigilance and care when utilizing TOE.
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