Experience with transesophageal echocardiography for mitral valve plasty in the remote stage after esophagectomy with gastric tube reconstruction via the posterior mediastinal route

Figures

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  Fig. 1. Transesophageal echocardiography image after induction of anesthesia. This is the only transesophageal echocardiography image we recorded after induction of anesthesia. Because of poor image quality due to loose contact of the TEE probe to the reconstructed esophagus mucosa, the aortic valve was barely visible

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  Fig. 2. Transesophageal echocardiography during withdrawal from cardiopulmonary bypass (A mid-esophageal two-chamber image (systolic phase), B mid-esophageal two-chamber image (diastolic phase), C mid-esophageal long-axis image (systolic phase), D mid-esophageal long-axis image (diastolic phase), E 3-dimensional TEE (systolic phase), F 3-dimensional TEE (diastolic phase)). During withdrawal from cardiopulmonary bypass, image quality and field of view were improved, and the mitral valve could be observed. No thrombus or large air volume was observed in the left atrium (A–B), and the mitral valve was deemed sufficiently repaired (A–F)

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  Fig. 3. Preoperative computed tomography. The esophagus was reconstructed in the posterior mediastinal tract (red arrows), and there was no finding of recurrence