Valutazione intraoperatoria dell'anuloplastica tricuspidale mediante ecocardiografia transesofagea.

Translated title of the contribution: Intraoperative evaluation of tricuspid valve annuloplasty with transesophageal echocardiography

R. De Simone, R. Lange, W. Saggau, A. Tanzeem, S. Hagl

Research output: Contribution to journalArticlepeer-review

Abstract

The present study shows a new application of transesophageal echocardiography (TEE) to optimize tricuspid valve annuloplasty. Eighteen patients with tricuspid regurgitation (TR) underwent De Vega tricuspid annuloplasty. After cardiopulmonary bypass the tension on the suture was adjusted until the surgeon could not feel any regurgitant jet by intraatrial palpation; subsequently, the tension was further adjusted on the basis of TEE. The post-pump residual tricuspid regurgitation was assessed by semiquantitative grading of tricuspid regurgitation (0 to 4+), area of regurgitant jet and percentage of right atrial area subtended by jet area. The data obtained by intraatrial palpation were compared with the data obtained by TEE. A significant reduction of residual tricuspid regurgitation was shown by TEE when compared to intraatrial palpation. After a follow-up period of 2 weeks, no significant changes in the grade of TR were observed. The results showed that the use of TEE was able to optimize the De Vega's tricuspid annuloplasty.

Translated title of the contributionIntraoperative evaluation of tricuspid valve annuloplasty with transesophageal echocardiography
Original languageUndefined/Unknown
Pages (from-to)195-201
Number of pages7
JournalCardiologia (Rome, Italy)
Volume37
Issue number3
StatePublished - Mar 1992
Externally publishedYes

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