Why the study?
Early post-operative myocardial ischemia is the main cause of morbidity and mortality after arterial switch operation, commonly linked to imperfect coronary artery translocation.
Does transesophageal echocardiography improve early detection of myocardial ischemia compared to electrocardiography in patients undergoing arterial switch operation?
Does transesophageal echocardiography improve early detection of myocardial ischemia compared to electrocardiography in patients undergoing arterial switch operation?
Transesophageal echocardiography may allow for earlier detection of myocardial ischemia than electrocardiography during arterial switch operations.
Answers are grounded in this paper and cite their sources.
May prompt earlier TEE vigilance for post-ASO ischemia; leaves open outcome impact in prospective studies.
Myocardial ischemia after arterial switch operation is most commonly associated with imperfect translocation of coronary arteries to the neoaorta. Early post-operative myocardial ischemia is the main cause of morbidity and mortality in these patients. We present a rare case of intra-operative myocardial ischemia after ASO, detected with transesophageal echocardiography before electrocardiography changes.
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Negi et al. (2023) studied this question.
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