Open AccessIntraoperative localization and monitoring of migrating foreign body using transesophageal echocardiography
Author(s) -
Bhupesh Kumar,
Ashok Kumar Badamali,
Aveek Jayant,
Ishwar Bhukal,
Goverdhan D Puri
Publication year - 2014
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.142076
Subject(s) - medicine , foreign body , ventricle , radiological weapon , mediastinum , radiology , foreign body removal , left atrium , posterior mediastinum , atrium (architecture) , right atrium , surgery , cardiology , atrial fibrillation
Radiological imaging is often used for the preoperative localization of foreign body following blast injury, but their utility in case of migration during intra-operative period is limited. Transesophageal echocardiography (TEE) has been used for intra-operative localization and removal of intra-cardiac foreign body; however, reports for localization of extracardiac migrating foreign body are few. Preoperative radiological imaging, in a victim of factory blast-injury, suggested foreign body in the posterior mediastinum. However, the intra-operative TEE showed it in the left atrium, which later migrated into the left ventricle necessitating a change in surgical approach for its removal.