scholarly journals Clinical application value of intraoperative transesophageal echocardiography in pediatric cardiac valvular disease

2019 ◽  
Author(s):  
Jingjing Qian ◽  
Jingjing Ye ◽  
Jin Yu ◽  
Xiuzhen Yang ◽  
Lei Zhao
Keyword(s):  
Cardiopulmonary Bypass ◽  
Transesophageal Echocardiography ◽  
Disease Diagnosis ◽  
Valvular Disease ◽  
Surgical Results ◽  
Coincidence Rate ◽  
Intraoperative Transesophageal Echocardiography ◽  
Before And After ◽  
Valvular Lesion ◽  
Valvular Lesions

Abstract Background: To explore the value of intraoperative transesophageal echocardiography (TEE) in the surgical treatment of pediatric cardiac valvular disease. Methods: Transthoracic echocardiography (TTE) was performed in 64 children with cardiac valvular disease, of which 49 patients underwent TEE before and after cardiopulmonary bypass. Results: The coincidence rate of preoperative TEE with the surgical diagnosis on valvular lesions was 100%, higher than that of TTE (78%). TEE supplemented or corrected 10 cases of TTE valvular lesion diagnosis, improving the accuracy of valvular disease diagnosis. Besides, TEE can effectively evaluate the surgical results. Conclusions: Preoperative TEE can accurately diagnose valvular disease in children, which helps to develop a surgical plan. Postoperative TEE can find the remaining problems in time and improve the success rate of surgery.

scholarly journals Role of Intraoperative Transesophageal Echocardiography in Cardiac Surgery: an Observational Study

2019 ◽  
Vol 7 (15) ◽  
pp. 2480-2483
Author(s):  
Mona Elsherbiny ◽  
Yaser Abdelwahab ◽  
Kareem Nagy ◽  
Asser Mannaa ◽  
Yasmin Hassabelnaby
Keyword(s):  
Decision Making ◽  
Cardiac Surgery ◽  
Transesophageal Echocardiography ◽  
Clinical Decision Making ◽  
Clinical Investigation ◽  
Clinical Decision ◽  
Surgical Decision ◽  
Intraoperative Transesophageal Echocardiography ◽  
Before And After ◽  
Cardiothoracic Surgeon

AIM: This study is based on the hypothesis that the routine use of transesophageal echocardiography in cardiac surgery will influence the surgical decision taken by the surgeon intra-operatively in Kasr-Alainy hospitals. METHODS: Patients were examined with intraoperative transesophageal echocardiography (TEE) before and after cardiopulmonary bypass. Complete and comprehensive intraoperative TEE examinations will be performed by TEE certified cardiac anesthesiologists. Data that will be collected from the intraoperative examination and will be compared with preoperative transthoracic echocardiography, and the surgical decision that was taken preoperatively will be revised again with the cardiothoracic surgeon before the start of surgery. Also, TEE will be used again after weaning from bypass for revision and assessment of our decision. RESULTS: We examined the utility of TEE in 100 patients undergoing different types of cardiac procedures in Kasr Al-Ainy hospital. This prospective clinical investigation found that the pre- and post-CPB TEE examinations influenced surgical decision making in 10% of all evaluated patients. CONCLUSION: Intraoperative TEE has the potential to influence clinical decision making for cardiac surgical patients significantly. It is useful in surgical planning, guiding various hemodynamic interventions, and assessing the immediate results of surgery. Thus, IOTEE should be used routinely in all patients undergoing all types of cardiac surgeries.

scholarly journals Value of Intraoperative Transesophageal Echocardiography during tetralogy of Fallot repair

2018 ◽  
pp. 51-54
Author(s):  
О. С. Бородінова
Keyword(s):  
Transesophageal Echocardiography ◽  
Tetralogy Of Fallot ◽  
Preoperative Diagnosis ◽  
Septal Defect ◽  
Z Score ◽  
Muscular Ventricular Septal Defect ◽  
A Value ◽  
Intraoperative Transesophageal Echocardiography ◽  
Before And After ◽  
Tetralogy Of Fallot Repair

This study was performed to define a value of intraoperative transesophageal echocardiography (ITEE) during tetralogy of Fallot (ToF) repair. Methods. Intraoperatively 64 patients with ToF were examined by TEE before and after cardiopulmonary bypass (CPB). Results. All preoperative diagnosis were confirmed by ITEE, except two cases when ITEE excluded diagnosis of PA branches’ stenosis and one case when additional muscular ventricular septal defect was detected. Was revealed a strong correlation of PV annulus Z-score diameter by ITEE with intraoperative data (r=0,802; p<0.00001). Significant RVOTO was detected by ITEE in two patients (3,1%) and three patients (4,7%) underwent a reoperation on pulmonary branches due to ITEE data. Conclusions. ITEE imaging is a valuable, safe and accurate tool for anatomical, hemodynamic, and functional assessment during ToF repair.

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