دورية أكاديمية
Intra-operative transoesophageal echocardiography after mitral repair--specific conditions and pitfalls
| العنوان: | Intra-operative transoesophageal echocardiography after mitral repair--specific conditions and pitfalls |
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| المؤلفون: | Mihaileanu, S., El Asmar, B., Acar, C., Lamberti, A., Diebold, B., Perier, P., Dreyfus, G., Bensasson, D., Dang, Y., Iliesu, D., Carpentier, A. |
| بيانات النشر: | Oxford University Press |
| سنة النشر: | 1991 |
| المجموعة: | HighWire Press (Stanford University) |
| مصطلحات موضوعية: | Articles |
| الوصف: | The aim of this study was to determine the specific conditions and pitfalls of immediate assessment of the reconstructed mitral valve in open chest patients. Sirty-rwo patients had a mitral reconstruction controlled by transoesophageal echocardiography and colour Doppler (TEE) from the moment when cardiac activity restarted under extracorporeal circulation (ECC), until complete rewarming of the patient and weaning off the by pass. The following conditions altered the imaging quality: (1) dried probe in the oesophagus or air bubbles, (2) nonapirated air from the stomach, (3) small or empty lefi atria, (4) invagination of the left atrial appendage, (5) trapped air in the posterior pericardium, (6) spontaneous contrast. Transient mitral regurgitation disappeared completely in 12/62 patients: five had temporary impairment of LV fwtction, two had reduced filling of the heart, one had lefi ventricular ourflow obstruction exacerbated by isoproterenol and nitroglycerine, two had ventricular ectopic rhythm, and two epicordial pacing. Only one of the 62 patients had persistent significant MR which reauired a second run o f ECC. we conclude that m i t h regurgitation after mitral valve repair is closely related to the quality of LV function. A decision to reoperate should eliminate the possible pitfalls, and take into consideration the specffic conditions of immediate postoperative cardiac function. |
| نوع الوثيقة: | text |
| وصف الملف: | text/html |
| اللغة: | English |
| العلاقة: | http://eurheartj.oxfordjournals.org/cgi/content/short/12/suppl_B/26Test; http://dx.doi.org/10.1093/eurheartj/12.suppl_B.26Test |
| DOI: | 10.1093/eurheartj/12.suppl_B.26 |
| الإتاحة: | https://doi.org/10.1093/eurheartj/12.suppl_B.26Test http://eurheartj.oxfordjournals.org/cgi/content/short/12/suppl_B/26Test |
| حقوق: | Copyright (C) 1991, European Society of Cardiology |
| رقم الانضمام: | edsbas.FF540F40 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1093/eurheartj/12.suppl_B.26 |
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