[Evaluation of the intraoperative transesophageal echocardiography for the aortic valve reconstruction].
Zhonghua Yi Xue Za Zhi
; 98(38): 3064-3067, 2018 Oct 16.
Article
em Zh
| MEDLINE
| ID: mdl-30392264
ABSTRACT
Objective:
To explore the value of the intraoperative transesophageal echocardiography during the aortic valve reconstruction.Methods:
The echocardiographic features were retrospectively summarized in 19 patients (male 15 cases; female 4 cases; age ranged from 12 to 65 years, mean age 37.7 years) with aortic valve reconstruction at Beijing Anzhen Hospital between October 2014 and October 2016.Results:
The findings of the neo-aortic valve on the transesophageal echocardiography included the slightly thickened and hyperechogenicity of the commission, especially the central coaptation point of the neo-valve. Trace aortic regurgitation was noted in 9 cases after operation, mild aortic regurgitation in 1 case and no aortic regurgitation in 9 cases. The velocity of the aortic valve increased significantly in 2 cases. Compared with pre-operation, the diameter of ascending aorta[(32.7±6.1) mm vs (36.4±6.3) mm, P<0.001]and the inner diameter of left ventricle[(48.3±6.1) mm vs (59.1±7.3) mm, P<0.001]decreased significantly after operation, the coaptation length of aortic valve[(6.6±1.3) mm vs (2.2±0.7) mm, P<0.001]significantly increased than that of pre-operation. The mean immediate velocity after operation (175 cm/s) was slightly higher than that (165 cm/s) of 3-month follow-up after surgery, but with no significant difference (P=0.367). Severe aortic regurgitation was found 15 days after operation in 1 case and 12 months after operation in 2 cases.Conclusion:
Intraoperative transesophageal echocardiography is a useful tool to evaluate the result of the aortic valve reconstruction.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Valva Aórtica
/
Ecocardiografia Transesofagiana
Tipo de estudo:
Observational_studies
Limite:
Adolescent
/
Adult
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Aged
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Child
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Female
/
Humans
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Male
/
Middle aged
Idioma:
Zh
Revista:
Zhonghua Yi Xue Za Zhi
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
China