Transesophageal echocardiography in NeoChord procedure

被引：10

作者：

Demetrio, Pittarello ^{[1
]}

Andrea, Colli ^{[2
]}

Gianclaudio, Falasco ^{[1
]}

Antonio, Marcassa ^{[1
]}

Gino, Gerosa ^{[2
]}

Carlo, Ori ^{[1
]}

机构：

[1] Univ Padua, Dept Med, Anesthesia & Intens Care Unit, Via Cesare Battisti 267, I-35100 Padua, Italy

[2] Univ Padua, Dept Cardiol Thorac & Vasc Sci, Padua, Italy

来源：

ANNALS OF CARDIAC ANAESTHESIA | 2015年 / 18卷 / 02期

关键词：

Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal; echocardiography;

D O I：

10.4103/0971-9784.154473

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Background: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result. Result and Conclusion: This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.

引用

页码：191 / 197

页数：7

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