Role of perioperative transesophageal echocardiography in the management of adolescent truncus arteriosus: Rare case report

Abstract

Truncus arteriosus (TA) is a rare congenital heart disease defined as a single arterial vessel arising from the heart that gives origin to the systemic, pulmonary and coronary circulations. The truncal valve in majority of the cases is tricuspid though quadricuspid and bicuspid valves have been reported. Patients with TA typically have a large nonrestrictive sub truncal ventricular septal defect. Survival of these infants beyond 1-year is uncommon. Here, we report a unique case of 12-year-old female patient with persistent TA who underwent surgical repair by using transesophageal echocardiography as a monitoring device during the perioperative management.

Keywords

• Cardiac surgery; Coronary artery bypass grafting; European system for cardiac operative risk evaluation; Risk factor
• After drop; Extravascular lung water; Fluid balance
• Anesthesia; pregnancy; pulmonary hypertension
• Cardiac surgery; heart disease; mortality; postoperative complications; risk stratification in cardiac surgery
• Cardiac anesthesia; Etomidate; Propofol
• CPB
• Cardiac computerized tomographic angiography; Congenital heart disease; General anesthesia
• Image quality; Induced apnea
• Extracorporeal membrane oxygenation; simulation; training
• Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography
• Congenital heart defect; Transesophageal echocardiogram; Tei index
• Cardiac surgery; dissociative anesthesia; intensive care; ketamine
• Cardiac surgery; hospital-acquired infection; infection; procalcitonin; sepsis
• Aortic dissection; ascending; intimo-intimal intussusception; Stanford type A
• Anesthesia induction; impaled knife in the back; airway management
• Pulmonary vascular resistance; Transesophageal echocardiography; Truncus arteriosus