Dexmedetomidine sedation for transesophageal echocardiography during percutaneous atrial septal defect closure in adult

Jae Wook Jung; Gwang Cheol Go; Sang Yoon Jeon; Sira Bang; Ki Hwa Lee; Yong Han Kim; Dong-Kie Kim

doi:10.12669/pjms.296.3616

Dexmedetomidine sedation for transesophageal echocardiography during percutaneous atrial septal defect closure in adult

Pak J Med Sci. 2013 Nov;29(6):1456-8. doi: 10.12669/pjms.296.3616.

Authors

Jae Wook Jung¹, Gwang Cheol Go², Sang Yoon Jeon³, Sira Bang⁴, Ki Hwa Lee⁵, Yong Han Kim⁶, Dong-Kie Kim⁷

Affiliations

¹ Jae Wook Jung, MD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
² Gwang Cheol Go, MD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
³ Sang Yoon Jeon, MD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
⁴ Sira Bang, MD, PhD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
⁵ Ki Hwa Lee, MD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
⁶ Yong Han Kim, MD, Department of Anesthesiology and Pain Medicine, Haeundae Paik Hospital, Inje University, Busan, South Korea.
⁷ Dong-Kie Kim, MD, Department of Cardiology, Haeundae Paik Hospital, Inje University, Busan, South Korea.

Abstract

Atrial septal defect (ASD) is second common congenital heart disease that often leads to adult period. Intracardiac or transesophageal echocardiography (TEE) is essential for percutaneous closure of ASD using Amplatzer septal occluder. Dexmedetomidine (DEX), which is a highly selective α2-agonist, has sedative and analgesic properties without respiratory depression in the clinical dose range. We report percutaneous closure of ASD with TEE under DEX sedation.

Keywords: Atrial septal defect; Dexmedetomidine sedation; Transesophageal echocardiography.

Publication types

Case Reports