Related Experiment Video
Updated: Jun 1, 2026
04:48
Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
Published on: November 28, 2018
[Transesophageal echocardiography in Ross procedure]
Marcello Fonseca Salgado Filho1, Arthur Siciliano, Luiz Antônio Diego
1Universidade Federal de Juiz de Fora (UFJF); Anesthesiologist of Instituto Nacional de Cardiologia/MS, Professor of Anesthesiology of UNIPAC-JF. mfonsecasalgado@hotmail.com
Revista Brasileira De Anestesiologia
|May 21, 2011
Summary
Transesophageal echocardiography is crucial during the Ross procedure for congenital aortic insufficiency, guiding surgical assessment and managing hemodynamic changes like right ventricular hypocontractility with vasoactive drugs.
Area of Science:
- Cardiovascular Surgery
- Anesthesiology
- Echocardiography
Background:
- The Ross procedure is a surgical technique for correcting severe congenital aortic insufficiency.
- Intraoperative transesophageal echocardiography (TEE) is vital for evaluating surgical outcomes and guiding management during the procedure.
Observation:
- A 15-year-old patient with severe congenital aortic insufficiency underwent corrective surgery using the Ross procedure.
- Intraoperative TEE revealed severe aortic insufficiency due to leaflet coaptation failure and assessed graft function post-cardiopulmonary bypass.
Findings:
- TEE provided precise physiological and anatomical assessment of the aortic and pulmonary grafts during the Ross procedure.
- Post-cardiopulmonary bypass, TEE identified right ventricular hypocontractility, which was successfully managed with milrinone.
Implications:
- Transesophageal echocardiography is indispensable for optimizing surgical correction of congenital aortic insufficiency with the Ross procedure.
- TEE facilitates real-time assessment of graft function and hemodynamic status, enabling prompt management of complications.
Related Concept Videos
01:20Imaging Studies for Cardiovascular System II:Types of Echocardiography
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
01:17Imaging Studies for Cardiovascular System I:Echocardiography
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
01:26Endoscopic Studies II: Thoracocentesis
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
01:21Cardiac Catheterization II: Right Heart Catheterization
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
01:28Cardiac Catheterization I: Pre-Procedure Overview
Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...