Related Experiment Video
Updated: Jul 24, 2025
07:41
Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
3.8K
Unexpected TEE Findings During Rheumatic Triple-Valve Surgery: Incidental, Yet Impactful
1Inova Fairfax Hospital, Inova Heart and Vascular Institute, University of Virginia School of Medicine Affiliate, Department of Cardiac Surgery, Falls Church, VA.
Journal of Cardiothoracic and Vascular Anesthesia
|July 7, 2023
Summary
An incidental right atrial membrane found during transesophageal echocardiography (TEE) altered cardiac surgery plans. This case study details the TEE findings and their impact on managing complex valve surgery.
Area of Science:
- Cardiology
- Cardiac Surgery
- Medical Imaging
Background:
- Transesophageal echocardiography (TEE) is crucial for intraoperative cardiac assessment.
- Incidental findings during cardiac surgery can necessitate changes in surgical strategy.
Purpose of the Study:
- To report an incidental finding of a right atrial membrane during prebypass TEE.
- To illustrate how this finding impacted surgical management during triple-valve surgery.
Main Methods:
- Utilized two-dimensional (2D) and advanced three-dimensional (3D) TEE.
- Real-time intraoperative TEE imaging guided decision-making.
Main Results:
- An incidental right atrial membrane was identified preoperatively via TEE.
- The presence of the membrane influenced the surgical approach for triple-valve replacement.
Conclusions:
- Intraoperative TEE is vital for detecting unexpected cardiac anomalies.
- Right atrial membranes can significantly affect cardiac surgical planning and execution.
More Related Videos
Related Concept Videos
01:22Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
38
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
38
01:23Rheumatic Heart Disease I: Introduction
17
Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
17
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
32
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
32
01:21Rheumatic Heart Disease III: Medical Management
22
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
22
01:26Mitral Stenosis III: Medical Management
13
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
13
01:18Endocarditis III: Medical Management
8
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
8