Analysis of the interatrial septum by transesophageal echocardiography in adult cardiac surgical patients: Anatomic variants and correlation with patent foramen ovale

被引：15

作者：

Augoustides, JG ^{[1
]}

Weiss, SJ ^{[1
]}

Ochroch, AE ^{[1
]}

Weiner, J ^{[1
]}

Mancini, J ^{[1
]}

Savino, JS ^{[1
]}

Cheung, AT ^{[1
]}

机构：

[1] Hosp Univ Penn, Dept Anesthesia, Philadelphia, PA 19104 USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2005年 / 19卷 / 02期

关键词：

transesophageal echocardiography; color-flow Doppler; contrast echocardiography; patent foramen ovale; atrial septum; lipomatous hypertrophy; atrial septal aneurysm; atrial septal aneurysm classification;

D O I：

10.1053/j.jvca.2005.01.021

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Objectives: The purpose of this study was to document the perioperative prevalence of anatomic variants of the interatrial septum (IAS), to classify atrial septal aneurysm based on mobility pattern, and to correlate anatomic variants of IAS with patent foramen ovale (PFO). Design: A prospective observational study. Setting: University hospital (single institution). Participants: Patients presenting for cardiac surgery requiring transesophageal echocardiography. Interventions: Multiplane TEE in 2 atrial views with color-flow Doppler and contrast echocardiography with a provocative respiratory maneuver. Measurements and Main Results: The cohort size was 206. PFO prevalence was 30.1%. The prevalence of IAS lipomatous hypertrophy was 43.2%, atrial septal flap (ASF) 43.2%, and atrial septal aneurysm (ASA) 28.6%. ASF and ASA were significantly (p < 0.05) associated with PFO. Selected ASA subtypes are significantly associated with PFO (p < 0.05). Conclusions: IAS anatomic variants are common in adult cardiac surgical patients undergoing multiplane TEE. The presence of ASF and ASA predicts enhanced PFO detection. ASA mobility patterns significantly correlate (p < 0.05) with the presence of PFO. (c) 2005 Elsevier Inc. All rights reserved.

引用

页码：146 / 149

页数：4

共 24 条

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