Archive | 2021
Transesophageal Echocardiography Probe Induced Recurrent VF In A Child with Severe RV Dysfunction. Report of a Rare Case
Abstract
The safety of transesophageal echocardiography (TEE) probes has been\ndocumented in pediatric patients (neonates, infants, and small children\neven < 2.5 Kg). The overall safety profile of TEE probe is\nquite favourable with a reported incidence of complications is about\n1-3%. However, insertion of the TEE probe can induce vagal and\nsympathetic reflexes such as hypertension or hypotension, non-sustained\nventricular and supraventricular tachyarrhythmias or bradyarrhythmias\n[3rd degree heart block], and even angina and myocardial infarction.\nWe hereby document a repeated and fatal intraoperative VF precipitated\nby TEE probe in a 2-year-old, 10 kg paediatric patient diagnosed with\nostium secundum atrial septal defect (OS-ASD), supravalvular pulmonary\nstenosis (PS) and severe right ventricular (RV) dysfunction.