Document Detail

Intraoperative assessment of the mitral valve: transesophageal Doppler echocardiography vs. left ventricular filling of the flaccid heart.
MedLine Citation:
PMID:  1567625     Owner:  NLM     Status:  MEDLINE    
Several methods can be used for the intraoperative assessment of residual mitral regurgitation (MR) following reconstruction of the mitral valve. The aim of this study was to compare the reliability of two of these methods: left ventricular filling of the arrested heart with saline (LVF) and intraoperative transesophageal Doppler echocardiography (TEE). Reliability was assessed by comparing LVF and TEE to postoperative left ventricular angiography (LVA) in 27 patients. LVF, TEE and LVA grading of MR was 0-4. Correlations, as measured by the Kappa statistic, were as follows: LVF-LVA: K = 0.33 (95% confidence interval (CI): 0.06-0.59), TEE-LVA: K = 0.48 (95% CI: 0.20-0.77), LVF-TEE: K = 0.43 (95% CI: 0.20-0.67). Considering LVF and TEE as predictors of LVA gradings above 2, sensitivities were 0.4 and 0.6, respectively. Specificities were 1.0 for each method. In conclusion, we found TEE in the beating heart not to be significantly more reliable in the prediction of residual MR than LVF in the flaccid heart.
A C Moulijn; Y M Smulders; J J Koolen; W J Voorn; C A Visser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  6     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1992  
Date Detail:
Created Date:  1992-05-26     Completed Date:  1992-05-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  122-6     Citation Subset:  IM    
Department of Cardiopulmonary Surgery, University of Amsterdam, The Netherlands.
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MeSH Terms
Aged, 80 and over
Coronary Angiography
Echocardiography, Doppler*
Heart Arrest, Induced*
Middle Aged
Mitral Valve / physiopathology,  surgery*
Mitral Valve Insufficiency / physiopathology,  radiography,  surgery
Ventricular Function, Left*

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