TY - JOUR
T1 - Usefulness of Intraoperative Real-Time 3D Transesophageal Echocardiography in Cardiac Surgery
AU - Scohy, TV
AU - ten Cate, Folkert
AU - Lecomte, PVEL (Patrick)
AU - McGhie, J
AU - de Jong, P.L.
AU - Hofland, Jan
AU - Bogers, Ad
PY - 2008
Y1 - 2008
N2 - Background: Recent advances in three-dimensional (3D) echocardiography allow to obtain real-time 3D transesophageal (RT3DTEE) images intraoperatively. Methods: Preoperative transthoral echocardiography (TTE) revealed: hypertrophic ventricular septum (TTE:19.3 mm), systolic anterior motion (SAM) not causing obstruction and malcoaptation of the anterior mitral valve leaflet (AMVL), and posterior mitral valve leaflet (PMVL) with severe mitral regurgitation. Results: Intraoperative TEE with a x7-2t MATRIX-array transducer (Philips, Andover, MA, USA) with a transducer frequency of x7-2 t mHz, connected to a iE33 (Philips), shows us that the main mechanism and site of regurgitation was an AMVL cleft. We also measured a 24.3-mm thickness of the ventricular septum and analyzing the 3D full volume acquisition revealed that there was no SAM. Conclusion: Intraoperative RT3DTEE permitted comprehensive 3D viewing of the mitral valve revealing the mechanism of mitral valve regurgitation, SAM, and the exact width of the hypertrophic ventricular septum. doi: 10.1111/j. 1540-8191.2008.00666.x (J Card Surg 2008;23:784-786)
AB - Background: Recent advances in three-dimensional (3D) echocardiography allow to obtain real-time 3D transesophageal (RT3DTEE) images intraoperatively. Methods: Preoperative transthoral echocardiography (TTE) revealed: hypertrophic ventricular septum (TTE:19.3 mm), systolic anterior motion (SAM) not causing obstruction and malcoaptation of the anterior mitral valve leaflet (AMVL), and posterior mitral valve leaflet (PMVL) with severe mitral regurgitation. Results: Intraoperative TEE with a x7-2t MATRIX-array transducer (Philips, Andover, MA, USA) with a transducer frequency of x7-2 t mHz, connected to a iE33 (Philips), shows us that the main mechanism and site of regurgitation was an AMVL cleft. We also measured a 24.3-mm thickness of the ventricular septum and analyzing the 3D full volume acquisition revealed that there was no SAM. Conclusion: Intraoperative RT3DTEE permitted comprehensive 3D viewing of the mitral valve revealing the mechanism of mitral valve regurgitation, SAM, and the exact width of the hypertrophic ventricular septum. doi: 10.1111/j. 1540-8191.2008.00666.x (J Card Surg 2008;23:784-786)
U2 - 10.1111/j.1540-8191.2008.00666.x
DO - 10.1111/j.1540-8191.2008.00666.x
M3 - Article
C2 - 19017014
SN - 0886-0440
VL - 23
SP - 784
EP - 786
JO - Journal of Cardiac Surgery
JF - Journal of Cardiac Surgery
IS - 6
ER -