Skip to main content

Transesophageal Echocardiography Adds to Decision Making During Valvular Heart Surgery

  • Conference paper
Transesophageal Echocardiography
  • 83 Accesses

Abstract

The first intraoperative, epicardial M-mode echocardiograms were performed in 1972 to assess postoperative valve function in patients undergoing mitral valve commissurotomy and prosthetic valve replacement [13]. It was, however, not until the early 1980s that echocardiography became recognized as a potentially useful intraoperative tool. The first two-dimensional (2-D) in-traoperative echocardiogram, reporting echo-guided surgical removal of a foreign body, was from Duke University in 1981 [10]. Subsequently, Spotnitz and Malm [21] first reported epicardial 2-D imaging to be a safe and useful procedure in patients undergoing a variety of cardiac operations. The recent introduction of Doppler color flow mapping has provided the ability to not only assess structure, but also to simultaneously assess blood flow [23].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Boiger A, Czer LS, Friedman A, Kleinman J, DeRobertis M, Chaux A, Maurer G (1988) Intraoperative transesophageal color Doppler imaging: advantages and limitations. J Am Coll Cardiol 11:217A.

    Article  Google Scholar 

  2. Carpentier A, Chauvaud S, Fabiani JN, Deloche A, Relland J, Lessana A, Allaines Cl, Blondeau Ph, Piwnica A, Dubost Ch (1980) Reconstructive surgery of mitral valve incompetence: ten year appraisal. J Thorac Cardiovasc Surg 79:338–348.

    PubMed  CAS  Google Scholar 

  3. Clements FM, de Bruijn NP (1987) Perioperative evaluation of regional wall motion by transesophageal two-dimensional echocardiography. Anesth Arialg 66:248–261.

    Google Scholar 

  4. Currie PJ, Stewart WJ, Salcedo EE, Agler DA, Lytle BM, Gill CC, Cosgrove DM (1988) Comparison of intraoperative transesophageal and epicardial color flow Doppler in mitral valve repair. J Am Coll Cardiol 11:20A.

    Article  Google Scholar 

  5. Czer LSC, Maurer G, Boiger AF, DeRobertis M, Resser KJ, Kass RM, Lee ME, Blanche C, Chaux A, Gray RJ, Matloff JM (1987) Intraoperative evaluation of mitral regurgitation by Doppler color flow mapping. Circulation [Suppl. 3] 76:1

    Google Scholar 

  6. Frazin L, Talano JV, Stephanides L, Loeb HS, Kopel L, Gunnar RM (1976) Esophageal echocardiography. Circulation 54:102–108.

    PubMed  CAS  Google Scholar 

  7. Galler M, Kronzon I, Slater J, Lighty GW, Politzer F, Colvin S, Spencer F (1986) Longterm follow-up after mitral valve reconstruction: incidence of postoperative left ventricular outflow obstruction. Circulation 75(1):99.

    Google Scholar 

  8. Geibel A, Kasper W, Behroz A, Przewolka U, Meinertz T, Just H (1988) Risk of transesophageal echocardiography in awake patients with cardiac diseases. Am J Cardiol 62:337–339.

    Article  PubMed  CAS  Google Scholar 

  9. Goldman ME, Mindich BP, Teichholz LE, Burgess N, Staville K, Fuster V (1984) Intraoperative contrast echocardiography to evaluate mitral valve operations. J Am Coll Cardiol 4(5):1035–1040.

    Article  PubMed  CAS  Google Scholar 

  10. Harrison LH, Kisslo JA, Sabiston DC (1981) Extraction of intramyocardial foreign body utilizing operative ultrasonography. J Thorac Cardiovasc Surg 82:345–349.

    PubMed  Google Scholar 

  11. Helmcke F, Nanda NC, Hsiung MC, Soto B, Adey CK, Goyal RG, Gatewood RP (1987) Color Doppler assessment of mitral regurgitation with orthogonal planes. Circulation 75(1):175-183.

    Article  PubMed  CAS  Google Scholar 

  12. Hickey MStJ, Smith R, Muhlbaier LH, Harrell FE, Reves JG, Hinohara T, Califf RM, Pryor DB, Rankin JS (1988) Current prognosis of ischemic mitral regurgitation: implications for future management. Circulation 78(1):51–59.

    Google Scholar 

  13. Johnson ML, Holmes JH, Spangler RD, Paton BR (1972) Usefulness of echocardiography in patients undergoing mitral valve surgery. J Thorac Cardiovasc Surg 64:922–934.

    PubMed  CAS  Google Scholar 

  14. Kremer P, Cahalan M, Beaupre P, Schroder E, Hanrath P, Heinrich H, Ahnefeld FW, Bleifeld W, Hamilton W (1985) Intraoperative Überwachung mittels transoesophagealer zweidimensionaler Echokardiographie. Anaesthesist 34:111–117.

    PubMed  CAS  Google Scholar 

  15. Maurer G, Czer LSC, Chaux A, Bolger AF, DeRobertis M, Resser K, Kass RM, Lee MS, Matloff JM (1987) Intraoperative Doppler color flow mapping for assessment of valve repair for mitral regurgitation. Am J Cardiol 60:333–337.

    Article  PubMed  CAS  Google Scholar 

  16. Nunley DL, Starr A (1983) The evolution of reparative techniques for the mitral valve. Ann Thorac Surg 37:393–397.

    Article  Google Scholar 

  17. Perry GJ, Helmcke F, Nanda NC, Byard C, Soto B (1987) Evaluation of aortic insufficiency by Doppler color flow mapping. J Am Coll Cardiol 9:952–959.

    Article  PubMed  CAS  Google Scholar 

  18. Ren JF, Panidis IP, Kotier MN, Mintz GW, Goel I, Ross J (1985) Effect of coronary bypass surgery and valve replacement on left ventricular function: assessment by intraoperative two-dimensional echocardiography. Am Heart J 109:281.

    Article  PubMed  CAS  Google Scholar 

  19. Rubenson DS, Tucker CR, London E, Miller DC, Stinson EB, Popp RL (1982) Two-dimensional echocardiographic analysis of segmental left ventricular wall motion before and after coronary artery bypass surgery. Circulation 5:1025–1031.

    Article  Google Scholar 

  20. Schluter M, Hinrichs A, Thier W, Kremer P, Schroder S, Cahalan MK, Hanrath P (1984) Transesophageal two-dimensional echocardiography: comparison of ultrasonic and anatomic sections. J Am Coll Cardiol 53:1173–1178.

    CAS  Google Scholar 

  21. Spotnitz HM, Malm JR (1982) Two-dimensional ultrasound and cardiac operations. J Thorac Cardiovasc Surg 83:43–51.

    PubMed  CAS  Google Scholar 

  22. Stewart WJ, Currie PJ, Lytle BW, Gill CC, Cosgrove DM (1988) The role of intraoperative echocardiography during cardiac valvular surgery. J Am Coll Cardiol 11:217A.

    Article  Google Scholar 

  23. Takamoto S, Kyo S, Adachi H, Matsumura M, Yokote Y, Omoto R, Buckley MJ (1985) Intraoperative color flow mapping by real-time two-dimensional Doppler echocardiography for evaluation of valvular and congenital heart disease and vascular disease. J Thorac Cardiovasc Surg 90:802–812.

    PubMed  CAS  Google Scholar 

  24. Ungerleider RM, Greeley WJ, Sheikh KH, Philips J, Kisslo JA (1988) Routine intraoperative epicardial pre and post bypass color flow imaging simplifies evaluation of repairs for congenital heart defects. Circulation 78:II–649.

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Sheikh, K.H., de Bruijn, N.P., Rankin, J.S., Stanley, T., Clements, F.M., Kisslo, J. (1989). Transesophageal Echocardiography Adds to Decision Making During Valvular Heart Surgery. In: Erbel, R., Khandheria, B.K., Brennecke, R., Meyer, J., Seward, J.B., Tajik, A.J. (eds) Transesophageal Echocardiography. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74257-6_40

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-74257-6_40

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74259-0

  • Online ISBN: 978-3-642-74257-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics