PMID: 15372125Sep 17, 2004Paper

Intraoperative echocardiography: support for decision making in cardiac surgery

Seminars in Cardiothoracic and Vascular Anesthesia
Ivan IglesiasJohn Murkin

Abstract

Intraoperative echocardiography (including transesophageal echocardiography, epiaortic ultrasound and epicardial echocardiography) is commonly performed in North American hospitals during cardiac anesthesia. Several authors have reported on the positive impact of intraoperative echocardiography on patients' outcomes. Transesophageal echocardiography is useful in identifying anatomic and functional abnormalities either before or after cardiopulmonary bypass and helps to make decisions in the care of high-risk and unstable patients. In minimally invasive and robotically assisted surgery, transesophageal echocardiography is essential in order to guide cannulation of venous and arterial vessels for cardiopulmonary bypass and in providing immediate assessment of the quality of the performed repair. Intraoperative echocardiography can also detect complications associated with the performed procedure and can be an excellent hemodynamic monitor in unstable patients. In this paper different scenarios where intraoperative echocardiography is useful are reviewed, some clinical cases are shown to illustrate, and a review of related literature is reported.

References

Mar 1, 1992·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·A S PearlmanW J Stewart
Aug 1, 1997·The Annals of Thoracic Surgery·R M SavageF D Loop
Oct 27, 1997·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·R M ApplebaumI Kronzon
Jul 25, 1998·The American Journal of Cardiology·R M ApplebaumI Kronzon
Dec 17, 1998·Journal of Cardiothoracic and Vascular Anesthesia·M MishraN Trehan
Jan 8, 2000·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·P CoutureN Poirier
Jul 13, 2000·The Annals of Thoracic Surgery·C J DiCorteM E Jessen
Aug 9, 2001·Seminars in Thoracic and Cardiovascular Surgery·I Iglesias, J M Murkin
Nov 28, 2001·The Annals of Thoracic Surgery·J M Murkin
Jun 28, 2002·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·M PepiR Spirito
Sep 12, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Zak Hillel
Sep 12, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Holger K EltzschigStanton K Shernan

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Citations

Jun 22, 2010·Journal of Cardiothoracic and Vascular Anesthesia·Andrew D PitkinJohn G T Augoustides
Nov 28, 2006·The Annals of Thoracic Surgery·Stefano De CastroNatesa G Pandian
Sep 19, 2008·Journal of Cardiovascular Medicine·Emanuele Catena, Donato Mele

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