TEE probe insertion can cause compression and occlusion of posterior vascular structures, such as the right subclavian artery, in adult patients with a vascular ring.
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Raises caution for TEE insertion in adults with vascular rings; leaves open incidence and prevention strategies.
Intraoperative transesophageal echocardiography (TEE) has become an important monitoring device for patients undergoing cardiac or noncardiac surgery. Complications associated with TEE are unusual, but the potential for TEE probe compression of the posterior vascular structures has been reported in pediatric patients. We present here a case of occlusion of the right subclavian artery in an adult patient with a vascular ring after insertion of a TEE probe.
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Park et al. (2010) studied this question.
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