• Miho Yumoto and Hirotada Katsuya.
• Department of Anesthesiology, Nagoya City University School of Medicine, Nagoya, Japan. myumoto@med.nagoya-cu.ac.jp
• J. Cardiothorac. Vasc. Anesth. 2002 Oct 1;16(5):587-91.

ObjectiveTo evaluate the usefulness of transesophageal echocardiography (TEE) for cardiac surgery in children.DesignProspective clinical study.SettingNagoya City University Hospital.ParticipantsChildren who had cardiac surgery from January 1998 to December 2000 (n = 90).InterventionsTEE was used to the extent permitted by the probe size and the position of the patient during surgery.Measurements And Main ResultsTEE monitoring was performed safely without any complications in 88 of the patients. Based on the TEE findings, the anesthesiologists conferred with the surgeon about the efficacy of the surgical procedures in 11 patients (11 of 88 [12.5%]). The cardiac surgeons altered the surgical repair in 2 patients based on the TEE findings (2 of 88 [2.4%]).ConclusionTEE is a valuable diagnostic tool for monitoring during cardiac surgery in children. The person who performs the TEE should use it carefully after obtaining thorough knowledge of the pathophysiology of pediatric cardiac diseases, their surgical indications, and how specific surgical procedures are done.Copyright 2002, Elsevier Science (USA). All rights reserved.

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