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Ischämische Mitralklappeninsuffizienz

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Die Echokardiographie im perioperativen und intensivmedizinischen Bereich

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Zusammenfassung

Die ischämische Mitralinsuffizienz ist eine häufige und prognostisch ungünstige Komplikation der koronaren Herzkrankheit. Sie wird verursacht durch Myokardischämie und/oder strukturelle Veränderungen des linken Ventrikels nach Myokardinfarkt, die über Verlagerung der Papillarmuskeln zur Behinderung des Klappenverschlusses führen. Die ischämische Mitralinsuffizienz ist abhängig von Vorlast und Nachlast, deshalb nimmt ihr Schweregrad unter Anästhesie ab. Perioperativ können verschiedene Faktoren eine neue oder eine Verschlechterung einer vorbestehenden ischämischen Mitralinsuffizienz verursachen. Für Diagnose, Quantifizierung sowie Steuerung der Therapie der perioperativen ischämischen Mitralinsuffizienz ist die Echokardiographie, insbesondere die transösophageale Echokardiographie, ausschlaggebend

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Author information

Authors and Affiliations

  1. Departement Anästhesie und Klinik für Herz- und Thorax-Chirurgie, Universitätsspital Basel, 4031, Basel, Switzerland

    K. Skarvan & F. Bernet

Authors
  1. K. Skarvan
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  2. F. Bernet
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Editor information

Editors and Affiliations

  1. Departement Anästhesie, Universitätsspital Basel, Spitalstr. 21, 4031, Basel

    Manfred D. Seeberger

  2. Ordinarius für Herz- und Thoraxchirurgie, Universitätsspital Basel, Spitalstr. 21, 4031, Basel

    Hans-Reinhard Zerkowski

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© 2006 Steinkopff Verlag

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Skarvan, K., Bernet, F. (2006). Ischämische Mitralklappeninsuffizienz. In: Seeberger, M.D., Zerkowski, HR. (eds) Die Echokardiographie im perioperativen und intensivmedizinischen Bereich. Steinkopff. https://doi.org/10.1007/978-3-7985-1608-3_6

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  • DOI: https://doi.org/10.1007/978-3-7985-1608-3_6

  • Publisher Name: Steinkopff

  • Print ISBN: 978-3-7985-1607-6

  • Online ISBN: 978-3-7985-1608-3

  • eBook Packages: Medicine (German Language)

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