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Echocardiography and Cardiopulmonary Bypass

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On Bypass

Part of the book series: Current Cardiac Surgery ((CCS))

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Abstract

Echocardiography has become indispensable to modern cardiac surgery, particularly since the introduction of transesophageal echocardiography (TEE) approximately 20 years ago. With TEE, an ultrasound transducer attached to a flexible scope (Fig. 1) is positioned in the esophagus or the stomach posterior to the heart. Because it does not interfere with the surgical field, produces high-resolution images of the heart and great vessels, and with Doppler echocardiography demonstrates and measures blood flow, all in real time, TEE has found many uses during heart surgery, as both a diagnostic tool and a monitor of cardiac function. This chapter explores ways in which echocardiography can be of use in patients undergoing cardiopulmonary bypass (CPB). It will begin by considering how echocardiography can be used to prevent complications of CPB by identifying risk factors before cannulation, discuss using TEE to insert and position cannula, and finish up by covering the topic of intracardiac air.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, New York Presbyterian/Columbia College of Physicians and Surgeons, New York, NY

    Jack S. Shanewise MD

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  1. Jack S. Shanewise MD
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Editor information

Editors and Affiliations

  1. Division of Cardiothoracic Surgery Clinical Perfusion, New York Presbyterian/Columbia College of Physicians and Surgeons, New York, NY

    Linda B. Mongero BS, CCP  & James R. Beck BS, CCP  & 

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© 2008 Humana Press Inc., a part of Springer Science+Business Media, LLC

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Shanewise, J.S. (2008). Echocardiography and Cardiopulmonary Bypass. In: Mongero, L.B., Beck, J.R. (eds) On Bypass. Current Cardiac Surgery. Humana Press. https://doi.org/10.1007/978-1-59745-305-9_10

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  • DOI: https://doi.org/10.1007/978-1-59745-305-9_10

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-636-8

  • Online ISBN: 978-1-59745-305-9

  • eBook Packages: MedicineMedicine (R0)

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