Lege Artis Medicinae

[Intraoperative transesophageal echocardiography]

NAGY András1, LENGYEL Mária1, TEMESVÁRI András1

JUNE 29, 1994

Lege Artis Medicinae - 1994;4(06)

[The authors assessed the value of intraoperative transesophageal echo cardiography in the completion of the preoperative diagnosis and in the evaluation of the surgical result. Examinations were performed in the course of 37 cardiac surgeries. 26 cases were mitral valve procedures or reoperations while 2 cases were aortic valve repairs. These were elective examinations for the purpose of evaluating surgical results. In 4 cases elective examinations were performed to complete the preoperative diagnosis. In 5 cases, intraoperative transesophageal echocardiography was requested by the surgeon during the operation. The intraoperative transesophageal echocardiography included 2D echo, color, pulsed wave and continuous wave Doppler techniques. Intraoperative transesophageal echocardiography was performed on all patients with no complications. On the basis of the structural and haemodynamic information obtained by this procedure, it surgical outcome was assessed and the questions posed by surgeons were answered. In 14 cases, the result of surgery was insufficient. In 12 of these cases, the operation was successfully completed with an altered surgical strategy based on the results of the intraoperative transesophageal echocardiography, and thus early reoperation was prevented. In 2 patients, the surgical procedure could not be completed due to an increased operative risk, despite the insufficient result. Intraoperative transesophageal echocardiography is a safe method to assist in completing the preoperative diagnosis and to evaluate the results of surgery. ]

AFFILIATIONS

  1. Országos Kardiológiai Intézet, Budapest

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