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Intraoperative transesophageal echocardiography
1Echocardiography Laboratory, Hartford Hospital, University of Connecticut School of Medicine, 80 Seymour Street, Hartford, CT 06102-5037, USA.
Cardiology in Review
|February 15, 2001
Summary
Transesophageal echocardiography (TEE) offers continuous cardiac assessment during surgery. This vital tool aids in managing complex cardiac conditions, valve repair, and thoracic aorta evaluations, improving patient outcomes.
Area of Science:
- Cardiology
- Anesthesiology
- Medical Imaging
Background:
- Transesophageal echocardiography (TEE) is crucial for intraoperative management in cardiac and high-risk noncardiac surgeries.
- It is particularly valuable in valve surgery, valve repair, and assessing ventricular function in patients with coronary disease or dysfunction.
Purpose of the Study:
- To review current applications of intraoperative Transesophageal echocardiography (TEE).
- To discuss the impact of TEE on patient outcomes in various surgical settings.
Main Methods:
- Review of current literature and clinical practices regarding intraoperative TEE.
- Analysis of TEE's role in cardiac surgery, thoracic aorta evaluation, congenital heart disease, and specialized procedures.
Main Results:
- TEE provides continuous assessment of ventricular performance and filling.
- TEE aids in diagnosing thoracic aorta dissection, selecting cannulation sites, defining intracardiac shunts, and managing complex congenital lesions.
- Specialized applications include monitoring during surgery for hypertrophic myopathy, pericardial disease, cardiac masses, and minimally invasive bypass surgery.
Conclusions:
- Intraoperative TEE is a versatile and essential tool in modern surgical practice.
- Specialized training and experience are critical for physicians performing TEE, regardless of their medical background.
- The effective use of TEE significantly impacts patient outcomes in cardiac and complex noncardiac procedures.