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Transesophageal Echocardiography Probe Induced Recurrent VF In A Child with Severe RV Dysfunction. Report of a Rare Case
  • +3
  • Vishnu Datt,
  • Sanjula Virmani,
  • Rachna Wadhwa,
  • Saket Agarwal,
  • Shardha Malik,
  • Varun Sharma
Vishnu Datt
GB Pant Hospital
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Sanjula Virmani
G B Pant Hospital
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Rachna Wadhwa
GB Pant Hospital
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Saket Agarwal
GB Pant Hospital
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Shardha Malik
GB Pant Hospital
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Varun Sharma
GB Pant Hospital
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Abstract

The safety of transesophageal echocardiography (TEE) probes has been documented in pediatric patients (neonates, infants, and small children even < 2.5 Kg). The overall safety profile of TEE probe is quite favourable with a reported incidence of complications is about 1-3%. However, insertion of the TEE probe can induce vagal and sympathetic reflexes such as hypertension or hypotension, non-sustained ventricular and supraventricular tachyarrhythmias or bradyarrhythmias [3rd degree heart block], and even angina and myocardial infarction. We hereby document a repeated and fatal intraoperative VF precipitated by TEE probe in a 2-year-old, 10 kg paediatric patient diagnosed with ostium secundum atrial septal defect (OS-ASD), supravalvular pulmonary stenosis (PS) and severe right ventricular (RV) dysfunction.

Peer review status:IN REVISION

13 May 2021Submitted to Journal of Cardiac Surgery
14 May 2021Assigned to Editor
14 May 2021Submission Checks Completed
14 May 2021Reviewer(s) Assigned
07 Jun 2021Review(s) Completed, Editorial Evaluation Pending
07 Jun 2021Editorial Decision: Revise Major
11 Jun 20211st Revision Received