Skip Navigation

European Heart Journal 1991 12(Supplement B):26-29; doi:10.1093/eurheartj/12.suppl_B.26
Copyright © 1991 by the European Society of Cardiology.
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Mihaileanu, S.
Right arrow Articles by Carpentier, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Mihaileanu, S.
Right arrow Articles by Carpentier, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

© 1991 The European Society of Cardiology

Intra-operative transoesophageal echocardiography after mitral repair—specific conditions and pitfalls

S. Mihaileanu, B. El Asmar, C. Acar, A. Lamberti, B. Diebold, P. Perier, G. Dreyfus, D. Bensasson, Y. Dang, D. Iliesu and A. Carpentier

Hopital Broussais Paris, France

Correspondence: S. Mihaileanu, Hôspital Broussais, Paris France.

The aim of this study was to determine the specific conditions and pitfalls of immediate assessment of the reconstructed mitral valve in open chest patients. Sirty-rwo patients had a mitral reconstruction controlled by transoesophageal echocardiography and colour Doppler (TEE) from the moment when cardiac activity restarted under extracorporeal circulation (ECC), until complete rewarming of the patient and weaning off the by pass. The following conditions altered the imaging quality: (1) dried probe in the oesophagus or air bubbles, (2) nonapirated air from the stomach, (3) small or empty lefi atria, (4) invagination of the left atrial appendage, (5) trapped air in the posterior pericardium, (6) spontaneous contrast. Transient mitral regurgitation disappeared completely in 12/62 patients: five had temporary impairment of LV fwtction, two had reduced filling of the heart, one had lefi ventricular ourflow obstruction exacerbated by isoproterenol and nitroglycerine, two had ventricular ectopic rhythm, and two epicordial pacing. Only one of the 62 patients had persistent significant MR which reauired a second run o f ECC.

we conclude that m i t h regurgitation after mitral valve repair is closely related to the quality of LV function. A decision to reoperate should eliminate the possible pitfalls, and take into consideration the specffic conditions of immediate postoperative cardiac function.

Key Words: Intra-operative echocardiography • mitral valve repair • transient mitral regurgitation


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 ANGIOLOGYHome page
G. Y. H. Lip, J. Gupta, J. S. Gill, and S. P. Singh
Sarcoid Heart Disease: A Rare Cause of Chest Pain and Malignant Cardiac Arrhythmia in a Young Asian Man: A Case Report
Angiology, September 1, 1996; 47(9): 905 - 910.
[Abstract] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.