Document Detail

Efficacy of transesophageal echocardiography as a perioperative monitor in patients undergoing cardiovascular surgery. Analysis of 149 consecutive studies.
MedLine Citation:
PMID:  2229149     Owner:  NLM     Status:  MEDLINE    
To evaluate the usefulness of transesophageal echocardiography as a perioperative monitor in patients undergoing cardiovascular surgery, 149 consecutive patients were studied since 1985. Left ventricular function was assessed by measurement of left ventricular dimension and ejection fraction in patients with valvular disease. This monitoring was useful in detecting the changes in left ventricular performance in patients with volume overload and in managing patients in the early postoperative period. Cardiac tamponade was clearly demonstrated before changes in electrocardiogram and hemodynamic data. In 27 patients, transesophageal color Doppler echocardiography was used to confirm that there was no residual regurgitation immediately after valvular reconstructive surgery. Transesophageal color Doppler echocardiography was also useful in detecting the entry of false lumen before surgery in 7 patients with dissecting aortic aneurysm. There were no unsuccessful introductions, no traumatic or thermal injuries, 18 patients (12.1%) with hoarseness and 5 patients (3.4%) with transient arrhythmia. In conclusion, transesophageal echocardiography provides a good imaging window to the heart and great vessels perioperatively. This expedient, safe informative imaging method can be used more routinely in patients during surgery.
H Shintani; S Nakano; H Matsuda; K Sakai; K Taniguchi; Y Kawashima
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  31     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1990 Sep-Oct
Date Detail:
Created Date:  1990-12-04     Completed Date:  1990-12-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  564-70     Citation Subset:  IM    
First Department of Surgery, Osaka University Medical School, Japan.
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MeSH Terms
Aged, 80 and over
Aneurysm, Dissecting / ultrasonography
Aortic Aneurysm / ultrasonography
Cardiac Surgical Procedures*
Cardiac Tamponade / ultrasonography
Echocardiography / methods*
Heart Neoplasms / ultrasonography
Heart Valve Diseases / ultrasonography
Middle Aged
Monitoring, Intraoperative / methods*
Myocardial Infarction / ultrasonography
Thrombosis / ultrasonography
Ventricular Function, Left / physiology

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

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