Evaluation of Cardiac Function During Laparoscopic Gastrostomy in Pediatric Patients with Hypoplastic Left Heart Syndrome Using Intraoperative Transesophageal Echocardiography

Abstract

Pneumoperitoneum associated with laparoscopic gastrostomy tube placement results in a reversible decrease in fractional shortening in patients with HLHS and SVP. Overall, the children tolerated pneumoperitoneum. TEE allows for real-time assessment of ventricular function and volume and may improve safety during longer procedures.