Change in Surgical Management as a Consequence of Real-Time 3D TEE: Assessment of Left Ventricular Function

Gregory W. Fischer; Anelechi Anyanwu; David Adams

doi:10.1177/1089253209351599

December 1, 2009Seminars in Cardiothoracic and Vascular Anesthesia

Change in Surgical Management as a Consequence of Real-Time 3D TEE: Assessment of Left Ventricular Function

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Why the study?

Does real-time 3-dimensional transesophageal echocardiography (RT 3D TEE) alter surgical management compared to 2D assessment in a patient presenting for mitral valve repair?

Key Points

To describe an operative case where real-time 3D transesophageal echocardiography altered surgical management and to discuss its advantages in assessing left ventricular function.
Assessed an individual presenting for mitral valve repair in an operating room setting.
Used intraoperative real-time 3-dimensional transesophageal echocardiography (RT 3D TEE) to evaluate cardiac structures and left ventricular function in comparison with 2D imaging.
Availability of RT 3D TEE directly changed the surgical management strategy during the mitral valve procedure.
Three-dimensional assessment provided clinical advantages over conventional two-dimensional imaging for evaluating left ventricular function.

Structured PICO

Does real-time 3-dimensional transesophageal echocardiography (RT 3D TEE) alter surgical management compared to 2D assessment in a patient presenting for mitral valve repair?

P

Population

A patient presenting for mitral valve repair

I

Intervention

Real-time 3-dimensional transesophageal echocardiography (RT 3D TEE)

C

Comparator

2-dimensional (2D) assessment of left ventricular function

O

Outcome

Change in surgical management

Real-time 3D TEE can provide additional information over 2D assessment that may alter surgical management during mitral valve repair.

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Implication

Single case suggests 3D TEE may alter mitral repair planning; leaves open whether it routinely outperforms 2D assessment.

Abstract

Real-time 3-dimensional transesophageal echocardiography (RT 3D TEE) is a novel imaging technology that is becoming more frequently encountered in the operating room environment. The authors present a case in which the availability of 3D TEE altered the surgical management of a patient presenting for mitral valve repair. Additionally, the advantages of 3D, as opposed to 2D assessment of left ventricular function, are discussed.

Discussion

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Cite This Study

Fischer et al. (2009) studied this question.

synapsesocial.com/papers/6a75996f87be37a05b1610f4 https://doi.org/10.1177/1089253209351599

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Change in Surgical Management as a Consequence of Real-Time 3D TEE: Assessment of Left Ventricular Function

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Change in Surgical Management as a Consequence of Real-Time 3D TEE: Assessment of Left Ventricular Function

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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