Background: Perioperative monitoring of mitral valve (MV) anatomy, function, and pathology is essential for surgical management of different MV disease.
Aims: To overcome the several potential pitfalls of two-dimensional transesophageal echocardiography (2D TEE) and offline 3D TEE.
Methods: Live 3D TEE was used to assess 73 patients (44 men and 29 women) with Carpentier type II MV regurgitation undergoing MV surgery perioperatively.
Results: The isolated segment most frequently involved was A2/P2, but A1or P1 rarely was involved in an isolated lesion or combined lesions. The agreement between 3D TEE finding and surgery was 88% (64/73). In nine patients, the live 3D TEE images revealed more segments or scallops with prolapse than the surgeon noted intraoperatively.
Conclusions: Live 3D TEE allows more sensitivity and was feasible identification of prolapse or flail of individual segments of MV leaflets during surgery. We conclude that live 3D TEE should be regarded as an important adjunct to the standard 2D TEE examination in making decisions about MV surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1093/ejechocard/jep173 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Perioperative anaesthetic management of an elderly high-risk male with cardiac ochronosis undergoing aortic valve replacement with coronary artery bypass graft: A case report.
J Perioper Pract
August 2024
Department of Cardiac Anaesthesiology, G. Kuppuswamy Naidu Memorial Hospital, Coimbatore, India.
Article Synopsis
- * The condition can cause serious heart problems, such as valve stenosis and regurgitation, impacting about 10% of individuals and potentially leading to heart failure.
- * This report details the effective anesthesia management of a 74-year-old man with cardiac issues from alkaptonuria who successfully underwent surgery for an aortic valve replacement and coronary artery bypass grafting.
AngioVac Procedures: Integration of cardiac surgeon and anesthesiologist-led transesophageal echocardiography: A preliminary report.
Heliyon
July 2024
University of Iowa, Carver College of Medicine, Department of Anesthesia, 200 Hawkins Drive, Iowa City, IA 52242, USA.
Introduction: The AngioVac system is a novel, minimally invasive, endovascular technique used to evacuate intravascular or intracardiac vegetation or thrombus. Although most AngioVac procedures are currently performed by interventionalists, this innovative procedure has been gaining attention among the surgical and anesthesia communities.
Methods: We retrospectively reviewed all patients who underwent the AngioVac procedure performed by a cardiac surgeon between August 2019 and December 2022.
Total daily energy expenditure and elevated water turnover in a small-scale semi-nomadic pastoralist society from Northern Kenya.
Ann Hum Biol
February 2024
Evolutionary Anthropology, Duke University, Durham, NC, USA.
Background: Pastoralists live in challenging environments, which may be accompanied by unique activity, energy, and water requirements.
Aim: Few studies have examined whether the demands of pastoralism contribute to differences in total energy expenditure (TEE) and water turnover (WT) compared to other lifestyles.
Subjects And Methods: Accelerometer-derived physical activity, doubly labelled water-derived TEE and WT, and anthropometric data were collected for 34 semi-nomadic Daasanach adults from three northern Kenyan communities with different levels of pastoralist activity.
Novel Transcatheter Approach to Treat Primum Atrial Septal Defects.
CASE (Phila)
March 2024
Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, Washington.
•Degenerative common AVC defect can mimic rheumatic MV stenosis.•Closure of primum ASD can be achieved percutaneously.•Live 3D multiplanar TEE is crucial for procedural guidance.
View Article and Find Full Text PDFMulti-network approach for image segmentation in non-contrast enhanced cardiac 3D MRI of arrhythmic patients.
Comput Med Imaging Graph
April 2024
Department of Internal Medicine II, Ulm University Medical Center, Ulm, Germany. Electronic address:
Left atrial appendage (LAA) is the source of thrombi formation in more than 90% of strokes in patients with nonvalvular atrial fibrillation. Catheter-based LAA occlusion is being increasingly applied as a treatment strategy to prevent stroke. Anatomical complexity of LAA makes percutaneous occlusion commonly performed under transesophageal echocardiography (TEE) and X-ray (XR) guidance especially challenging.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!