Document Detail


Adjustable tricuspid valve annuloplasty assisted by intraoperative transesophageal color Doppler echocardiography.
MedLine Citation:
PMID:  8465783     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraoperative transesophageal echocardiography (TEE) can play a major role in active guidance of cardiac surgery. This study describes a new application of TEE for assisting tricuspid suture annuloplasty. Twenty-five patients (aged 52 +/- 11 years) who underwent mitral valve replacement and tricuspid valve annuloplasty were studied intraoperatively by TEE. After cardiopulmonary bypass, the suture annuloplasty was adjusted on the beating heart until palpable regurgitation was eliminated. Further adjustment of the suture was performed under echocardiographic guidance until color Doppler flow imaging showed the most adequate correction of tricuspid regurgitation (TR). A significant decrease in the semiquantitative grade of TR, of regurgitant jet area and of the ratio jet area/right atrial area was obtained when the suture was adjusted under echocardiographic guidance. The peak inflow velocity and the gradient across the tricuspid valve did not show significant changes throughout the procedures. The results showed that the tricuspid suture annuloplasty guided by TEE enables a substantial reduction in residual TR without creating valve stenosis.
Authors:
R De Simone; R Lange; A Tanzeem; E Gams; S Hagl
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of cardiology     Volume:  71     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-05-03     Completed Date:  1993-05-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  926-31     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiac Surgery, University of Heidelberg, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aortic Valve / surgery
Echocardiography
Echocardiography, Doppler* / methods
Esophagus
Female
Heart Valve Prosthesis*
Humans
Male
Middle Aged
Mitral Valve / surgery
Monitoring, Intraoperative / methods*
Regional Blood Flow
Tricuspid Valve / physiopathology,  surgery*,  ultrasonography
Tricuspid Valve Insufficiency / physiopathology,  surgery,  ultrasonography*
Comments/Corrections
Comment In:
Am J Cardiol. 1994 Apr 1;73(9):721-2   [PMID:  8166078 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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