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Transesophageal Echocardiography in Cardiac Surgery

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Cardiac Surgery

Abstract

Transesophageal echocardiography (TEE) involves the passage of a specialized endoscope into the esophagus and stomach to obtain ultrasound images of the heart. The TEE endoscope is equipped with one or more ultrasound transducers at the distal tip of the probe. Each transducer generates a wedge-shaped sector of ultrasound, as shown in Figure 1. The sector of ultrasound illustrated in this diagram is the horizontal or transverse imaging plane, as will be described further below. The major advantage of the transesophageal window for ultrasound imaging is the proximity of the esophagus to the heart. This proximity allows the use of transducers of higher frequency, which have less depth of tissue penetration but are capable of producing images of significantly superior detail and resolution compared to standard transthoracic images. In addition, many of the obstacles to transmission of ultrasound encountered from the transthoracic window such as intervening bone, fresh surgical incisions, or air-filled lungs in patients on a respirator, do not affect imaging from the transesophageal window.

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Bibliography

  • Aronson S Lee B Wiencek J et al: Assessment of myocardial perfusion during CABG surgery with two-dimensional transesophageal contrast echocardiography. Anesthesiology 1991; 75: 433–440.

    Article  PubMed  CAS  Google Scholar 

  • Barzilai B Marshall WG Saffitz JE et al: Avoidance of embolic complications by ultrasonic characterization of the ascending aorta. Circulation 1989; 80(suppl l):277–279.

    Google Scholar 

  • Chan KL: Transesophageal echocardiography for assessing cause of hypotension after cardiac surgery. Am J Cardiol 1988; 62: 1142–1143.

    Article  PubMed  CAS  Google Scholar 

  • Clements FM deBruijn NP: Perioperative evaluation of regional wall motion by transesophageal two-dimensional echocardiography. Anesth Analg 1987; 66: 249–261.

    Article  PubMed  CAS  Google Scholar 

  • Daniel WC Mugge A Martin R et al: Improvement in the diagnosis of abscesses associated with endocarditis by transesophageal echocardiography. N Engl J Med 1991; 324: 795–800.

    Article  PubMed  CAS  Google Scholar 

  • Davison M Burstow DJ: Transesophageal echocardiography in the assessment of hemolytic anemia following mitral valve surgery (abstract). J Am Soc Echocardiogr 1990; 3: 221.

    Google Scholar 

  • Erbel R Rohmann S Drexler et al: Improved diagnostic value of echocardiography inpatients with infective endocarditis by transesophageal approach. A prospective study. Eur Heart J 1988; 9: 43–53.

    CAS  Google Scholar 

  • Karalis DG Chandrasekaran K Victor M et al: Recognition and embolic potential of intraaortic atherosclerotic debris. J Am Coll Cardio 1991; 17: 73–78.

    Article  CAS  Google Scholar 

  • Kochar GS Jacobs LE Kotler MN: Right atrial compression in postoperative cardiac patients: Detection by transesophageal echocardiography. J Am Coll Cardiol 1990; 16: 511–516.

    Article  PubMed  CAS  Google Scholar 

  • Kreindel MS Schiavone WA Lever HM et al: Systolic anterior motion of the mitral valve after Carpentier ring valvuloplasty for mitral valve prolapse. Am J Cardio 1986; 57: 408–412.

    Article  CAS  Google Scholar 

  • Leung JM O’Kelly B Browner WS et al: Prognostic importance of postbypass regional wall-motion abnormalities in patients undergoing coronary artery bypass graft surgery. Anesthesiology 1989; 71: 16–25.

    Article  PubMed  CAS  Google Scholar 

  • Marwick T Obarski T Salcedo E et al: Transesophageal echo evaluation of mitral stenosis may underestimate “splitability score” (abstract). J Am Coll Cardiol 1990; 3: 211.

    Google Scholar 

  • Marwick T Stewart WJ: Intraoperative echocardiography guides extent of myectomy in hypertrophie cardiomyopathy (abstract). Circulation 1989; 80(suppl 2): 268.

    Google Scholar 

  • Marwick T Currie PJ Stewart WJ et al: Echocardiographic evaluation of immediate and late failed mitral valve repair (abstract). J Am Coll Cardiol 1989; 3: 114.

    Google Scholar 

  • Matsuzaki M Toma Y Kusukawa R: Clinical applications of transesophageal echocardiography. Circulation 1990; 82: 709–722.

    Article  PubMed  CAS  Google Scholar 

  • Mauere G Czer L: Intraoperative color Doppler assessment of mitral and bicuspid valve repair in Echocardiography and Doppler in Cardiac Surgery. New York Igaku-Shoin Medical publishers Inc. 1989: 243–257.

    Google Scholar 

  • Mihaileanu S Marino JP Chauvaud S et al: Left ventricular outflow obstruction after mitral valve repair (Carpentier’s technique). Circulation 1988; 78(suppl 1): 78–84.

    Google Scholar 

  • Mohr-Kahaly S Kupferwasser I Erbel R et al: Regurgitant flow in apparently normal valve prostheses: Improved detection and semiquantitative analysis by transesophageal two-dimensional color-coded Doppler echocardiography. J Am Soc Echocardiogr 1990; 3: 187–195.

    PubMed  CAS  Google Scholar 

  • Nellessen U Schnittger I Appleton C et al: Transesophageal two-dimensional echocardiography and color Doppler flow velocity mapping in the evaluation of cardiac valve prostheses. Circulation 1988; 78: 848–855.

    Article  PubMed  CAS  Google Scholar 

  • Salcedo EE Stewart WJ Klein AL et al: Evolution of transesophageal and epicardial echocardiography for intraoperative decision-making (abstract). J Am Soc Echocardiogr 1990; 3: 219.

    Google Scholar 

  • Sheikh KH deBruijn NP Rankin JS et al: The utility of transesophageal echocardiography and Doppler color flow imaging in patients undergoing cardiac valve surgery. J Am Coll Cardiol 1990; 15: 363–372.

    Article  PubMed  CAS  Google Scholar 

  • Stewart WJ Salcedo EE Cosgrove DM: The value of echocardiography in mitral valve repair. Cleve Clin J Med 1991; 57: 177–183.

    Google Scholar 

  • Stewart WJ Currie PJ Salcedo EE et al: Intraoperative Doppler color flow mapping for decision-making in valve repair for mitral regurgitation. Circulation 1990; 81: 556–566.

    Article  PubMed  CAS  Google Scholar 

  • Stewart WJ Agler DA Homa DA et al: Predicting the mechanism of mitral regurgitation prior to repair: A system using leaflet motion and color Doppler jet direction (abstract). Circulation 1990; 82(suppl 3): 551.

    Google Scholar 

  • Stewart WJ Currie PJ Salcedo EE et al: Jet direction by color flow mapping accurately depicts the mechanism of mitral regurgitation, (abstract). Circulation 1988; 78(suppl 2): 434.

    Google Scholar 

  • VanDaele ME Sutherland GR Mitchell MM et al: Do changes in pulmonary capillary wedge pressure adequately reflect myocardial ischemia during anesthesia: A correlative preoperative hemodynamic electrocardiographic and transesophageal echocardiographic study. Circulation 1990; 81: 865–871.

    Article  PubMed  Google Scholar 

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© 1994 Springer Science+Business Media New York

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O’Connor, W.H. (1994). Transesophageal Echocardiography in Cardiac Surgery. In: Cernaianu, A.C., DelRossi, A.J. (eds) Cardiac Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2423-6_11

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  • DOI: https://doi.org/10.1007/978-1-4615-2423-6_11

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6028-5

  • Online ISBN: 978-1-4615-2423-6

  • eBook Packages: Springer Book Archive

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