SIBEL POCAN, RIFAT ERALP ULUSOY, MURAT ÖZSOY, MELIH HULUSI US, ERGÜN DEMIRALP

10055

INTRAOPERATIVE TRANSOSEPHAGEAL ECHOCARDIOGRAPHY IN VALVE REPLACEMENT SURGERY: OUR EXPERIENCE

Transosephageal echocardiography (TEE) is applied widely during heart valve replacement surgery (1). The first successful demonstration of the use of the esophageal window for echocardiography was reported in 1976 (2). The esophageal echocardiography has provided an airless pathway especially in patients with chronic obstructive pulmonary disease, which yieldinterpretable echocardiographic windows and concluded as a safe diagnostic procedure (2). Transosephageal echocardiography (TEE) showed a huge improvement that, it became one of the essential diagnostic procedures for the valvular disease and valvular surgery (3-8). It has become the standard of care for evaluating the reparative or curative replacement valvular surgical procedures, thus providing an immediate gauge of the surgical results and helping to avoid suboptimal surgical results (8). From that time starting with the cardiology specialists, today TEE is performed perioperatively either cardiology or anesthesiology specialists or both of them according to the guidelines (9-12). Our aim is to report our TEE guided perioperative valvular surgical results in the light of the literature.
Anahtar Kelimeler:

Transosephageal echocardiography, open heart surgery, valvular disease

INTRAOPERATIVE TRANSOSEPHAGEAL ECHOCARDIOGRAPHY IN VALVE REPLACEMENT SURGERY: OUR EXPERIENCE

Transosephageal echocardiography (TEE) is applied widely during heart valve replacement surgery (1). The first successful demonstration of the use of the esophageal window for echocardiography was reported in 1976 (2). The esophageal echocardiography has provided an airless pathway especially in patients with chronic obstructive pulmonary disease, which yield interpretable echocardiographic windows and concluded as a safe diagnostic procedure (2). Transosephageal echocardiography (TEE) showed a huge improvement that, it became one of the essential diagnostic procedures for the valvular disease and valvular surgery (3-8). It has become the standard of care for evaluating the reparative or curative replacement valvular surgical procedures, thus providing an immediate gauge of the surgical results and helping to avoid suboptimal surgical results (8). From that time starting with the cardiology specialists, today TEE is performed perioperatively either cardiology or anesthesiology specialists or both of them according to the guidelines (9-12). Our aim is to report our TEE guided perioperative valvular surgical results in the light of the literature.
Keywords:

Transosephageal echocardiography, open heart surgery, valvular disease,

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  • 1. Rosenhek R, Binder T, Maurer G. Intraoperative transosephageal echocardiography in valve replacement surgery. Echocardiography 2002;19:701-7.
  • 2. Frazin L, Talano JV, Stephanides L, Loeb HS, Kopel L, Gunnar RM. Esophageal echocardiography. Circulation 1976;54:102-8.
  • 3. Beaupre PN, Kremer PF, Cahalan MK, Lurz FW, Schiller NB, HamiLon WK. Intraoperative detection of changes in left ventricular segmental wall motion by transesophageal two-dimensional echocardiography. Am Heart J 1984;107:1021-3.
  • 4. Hanrath P, Kremer P, Langenstein BA, Matsumoto M, Bleifeld W. Transesophageal echocardiography. A new method for dynamic ventricle function analysis. Dtsch Med Wochenschr 1981;106:523-5.
  • 5. Roizen MF, Beaupre PN, Alpert RA, Kremer P, Cahalan MK, Shiller N, Sohn YJ, Cronnelly R, Lurz FW, Ehrenfeld WK, et al. Monitoring with two-dimensional transesophageal echocardiography. Comparison of myocardial function in patients undergoing supraceliac, suprarenalinfraceliac, or infrarenal aortic occlusion. J Vasc Surg 1984;1:300-5.
  • 6. Smith JS, Cahalan MK, Benefiel DJ, Byrd BF, Lurz FW, Shapiro WA, Roizen MF, Bouchard A, Schiller NB. Intraoperative detection of myocardial ischemia in high-risk patients: electrocardiography versus two-dimensional tran esophageal echocardiography. Circulation 1985;72:1015-21.
  • 7. Souquet J, Hanrath P, Zitelli L, Kremer P, Langenstein BA, Schluter M. Transesophageal phased array for imaging the heart. IEEE Trans Biomed Eng. 1982 Oct;29(10):707-12.
  • 8. Koch CG, Milas BL, Savino JS. What does transesophageal echocardiography add to valvular heart surgery? Anesthesiol Clin North America. 2003 Sep;21(3):587-611.
  • 9. Pearlman AS, Gardin JM, Martin RP, Parisi AF, Popp RL, Quinones MA, Stevenson JG, Schiller NB, Seward JB, Stewart WJ. Guidelines for physician training in transesophageal echocardiography: recommendations of the American Society of Echocardiography Committee for Physician Training in Echocardiography. J Am Soc Echocardiogr 1992;5:187-94.
  • 10. Practice guidelines for perioperative transosephageal echocardiography: A report by the American Society of Anesthesiologists and the Society of Cardiovascular Anesthesiologists Task Force on Transosephageal Echocardiography. Anesthesiology 1996; 84: 986-1006.
  • 11. Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew JP, Quinones MA, Cahalan MK, Savino JS. ASE/SCA guidelines for performing a comprehensive intraoperative muLiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 1999;89:870-84.
  • 12. Shanewise JS, Cheung AT, Aronson S, Stewart WJ, Weiss RL, Mark JB, Savage RM, Sears-Rogan P, Mathew JP, Quinones MA, Cahalan MK, Savino JS. ASE/SCA guidelines for performing a comprehensive intraoperative muLiplane transesophageal echocardiography examination: recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg 1999;89:884-900.
  • 13. Henry WL, De Maria A, Gramiak R, King DL, Kisslo JA, Popp RL, Sahn DJ, Schiller NB, Tajik A, Teicholz LE, Weyman AE (1980) Report of the American Society of Echocardiography Committee on nomenclature and standards in two-dimensional echocardiography. Circulation 1980;62:212-7.
  • 14. Gadeva S, Kratunkov P, Dzhorgova Iu, Nachev G, Chirkov A. Intraoperative transesophageal echocardiography in patients with surgical valve repair. Khirurgiia 1995;48:59-63.
  • 15. Fujii H, Suehiro S, Shibata T, Hattori K, Watanabe H, Yoshikawa J. Value of intraoperative transesophageal echocardiography in preventing serious complications during valvular surgery. A report of four cases. J Heart Valve Dis 2002;11:135-8.
  • 16. Furlan AJ, Breuer AC. Central nervous system complications of open heart surgery. Stroke 198;15:912-5.
  • 17. Breuer AC, Furlan AJ, Hanson MR, Lederman RJ, Loop FD, Cosgrove DM, Greenstreet RL, Estafanous FG. Central nervous system complications of coronary artery bypass graft surgery: prospective analysis of 421 patients. Stroke 1983;14:682-7.
  • 18. Morimoto K, Matsuzaki M, Tohma Y, Ono S, Tanaka N, Michishige H, Murata K, Anno Y, Kusukawa R. Diagnosis and quantitative evaluation of secundum-type atrial septal defect by transesophageal Doppler echocardiography. Am J Cardiol 1990;66:85-91.
  • 19. Tunick PA, Perez JL, Kronzon I. Protruding atheromas in the thoracic aorta and syste- mic embolization. Ann Intern Med 1991;115:423-7.
  • 20. Karalis DG, Chandrasekaran K, Victor MF, Ross JJ Jr, Mintz GS. Recognition and embolic potential of intraaortic atherosclerotic debris. J Am Coll Cardiol 1991;17:73-8.
  • 21. Flachskampf FA, Hoffmann R, Verlande M, Schneider W, Ameling W, Hanrath P. Initial experience with a multiplane transoesophageal echo-transducer: assessment of diagnostic potential. Eur Heart J 1992;13:1201-6.
  • 22. Obal D, Preckel B, Scharbatke H, Mullenheim J, Hoterkes F, Thamer V, Schlack W. One MAC of sevoflurane provides protection against reperfusion injury in the rat heart in vivo. Br J Anaesth 2001;87:905-11.
  • 23. Piriou V, Chiari P, Lhuillier F, Bastien O, Loufoua J, Raisky O, David JS, Ovize M, Lehot JJ. Pharmacological preconditioning: comparison of desflurane, sevoflurane, isoflurane and halothane in rabbit myocardium. Br J Anaesth 2002;89:486-91.
  • 24. Preckel B, Thamer V, Schlack W. Beneficial effects of sevoflurane and desflurane against myocardial reperfusion injury after cardioplegic arrest. Can J Anaesth 1999;46:1076-81.
  • 25. Schlack W, Preckel B, Stunneck D, Thamer V. Effects of halothane, enflurane, isoflurane, sevoflurane and desflurane on myocardial reperfusion injury in the isolated rat heart. Br J Anaesth 1998;81:913-9.
Koşuyolu Heart Journal-Cover
  • ISSN: 2149-2972
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1990
  • Yayıncı: Sağlık Bilimleri Üniversitesi, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi
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