Intraoperative multiplane vs biplane transesophageal echocardiography for the assessment of cardiac surgery

Mauro Pepi, Paolo Barbier, Elisabetta Doria, Franco Bortone, Gloria Tamborini

Research output: Contribution to journalArticle

Abstract

This study was undertaken to test whether multiplane transesophageal echocardiography (TEE) offers advantages in comparison with biplane TEE in the intraoperative monitoring during cardiac surgery. A diagnostic multiplane TEE was performed in 400 patients in the immediate preoperative and postoperative periods. We systematically acquired cardiac images from the gastric fundus, lower esophagus, and upper esophagus; complete views of the descending aorta were also recorded. Usefulness of the different views in providing essential additional clinical information compared with exclusive transverse (0 to 20°) and longitudinal (70 to 110°) planes of the biplane TTE was assessed assuming that with manipulation of a biplane probe, a 20° arc could be added to the conventional horizontal and vertical planes. A high success rate of each view was demonstrated; anatomy and pathologic condition were best visualized in oblique planes. The method proved to be particularly useful in the preoperative and postoperative phases of aortic dissection (27 cases), aortic (65 cases) and mitral (35 cases) valve replacement, mitral valve repair (38 cases), left ventricular aneurysmectomy (25 cases), bleeding from proximal suture of an aortic heterograft (2 cases), and positioning of left ventricular hemopump (2 cases). Additional regional wall motion abnormalities of the right (four cases) and left ventricle (six cases) not appreciated in 0 to 20° or 70 to 110° planes were detected. Multiplane TEE is a useful clinical tool during intraoperative monitoring of cardiac surgery. Most structures of the heart and great vessels lie on oblique planes, while other views are optimized with the aid of slight angle corrections. This method improves the evaluation of anatomy and pathologic condition of the heart and great vessels, of native and prosthetic valves, and of left and right ventricular function.

Original languageEnglish
Pages (from-to)305-311
Number of pages7
JournalChest
Volume109
Issue number2
Publication statusPublished - 1996

Fingerprint

Transesophageal Echocardiography
Thoracic Surgery
Intraoperative Monitoring
Esophagus
Anatomy
Gastric Fundus
Preoperative Period
Right Ventricular Function
Thoracic Aorta
Mitral Valve
Left Ventricular Function
Postoperative Period
Heterografts
Sutures
Heart Ventricles
Dissection
Hemorrhage

Keywords

  • cardiac surgery
  • intraoperative monitoring
  • multiplane transesophageal echocardiography

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

Cite this

Intraoperative multiplane vs biplane transesophageal echocardiography for the assessment of cardiac surgery. / Pepi, Mauro; Barbier, Paolo; Doria, Elisabetta; Bortone, Franco; Tamborini, Gloria.

In: Chest, Vol. 109, No. 2, 1996, p. 305-311.

Research output: Contribution to journalArticle

Pepi, Mauro ; Barbier, Paolo ; Doria, Elisabetta ; Bortone, Franco ; Tamborini, Gloria. / Intraoperative multiplane vs biplane transesophageal echocardiography for the assessment of cardiac surgery. In: Chest. 1996 ; Vol. 109, No. 2. pp. 305-311.
@article{fee147b951fa4e819a9d5e035d958e7b,
title = "Intraoperative multiplane vs biplane transesophageal echocardiography for the assessment of cardiac surgery",
abstract = "This study was undertaken to test whether multiplane transesophageal echocardiography (TEE) offers advantages in comparison with biplane TEE in the intraoperative monitoring during cardiac surgery. A diagnostic multiplane TEE was performed in 400 patients in the immediate preoperative and postoperative periods. We systematically acquired cardiac images from the gastric fundus, lower esophagus, and upper esophagus; complete views of the descending aorta were also recorded. Usefulness of the different views in providing essential additional clinical information compared with exclusive transverse (0 to 20°) and longitudinal (70 to 110°) planes of the biplane TTE was assessed assuming that with manipulation of a biplane probe, a 20° arc could be added to the conventional horizontal and vertical planes. A high success rate of each view was demonstrated; anatomy and pathologic condition were best visualized in oblique planes. The method proved to be particularly useful in the preoperative and postoperative phases of aortic dissection (27 cases), aortic (65 cases) and mitral (35 cases) valve replacement, mitral valve repair (38 cases), left ventricular aneurysmectomy (25 cases), bleeding from proximal suture of an aortic heterograft (2 cases), and positioning of left ventricular hemopump (2 cases). Additional regional wall motion abnormalities of the right (four cases) and left ventricle (six cases) not appreciated in 0 to 20° or 70 to 110° planes were detected. Multiplane TEE is a useful clinical tool during intraoperative monitoring of cardiac surgery. Most structures of the heart and great vessels lie on oblique planes, while other views are optimized with the aid of slight angle corrections. This method improves the evaluation of anatomy and pathologic condition of the heart and great vessels, of native and prosthetic valves, and of left and right ventricular function.",
keywords = "cardiac surgery, intraoperative monitoring, multiplane transesophageal echocardiography",
author = "Mauro Pepi and Paolo Barbier and Elisabetta Doria and Franco Bortone and Gloria Tamborini",
year = "1996",
language = "English",
volume = "109",
pages = "305--311",
journal = "Chest",
issn = "0012-3692",
publisher = "Elsevier Inc.",
number = "2",

}

TY - JOUR

T1 - Intraoperative multiplane vs biplane transesophageal echocardiography for the assessment of cardiac surgery

AU - Pepi, Mauro

AU - Barbier, Paolo

AU - Doria, Elisabetta

AU - Bortone, Franco

AU - Tamborini, Gloria

PY - 1996

Y1 - 1996

N2 - This study was undertaken to test whether multiplane transesophageal echocardiography (TEE) offers advantages in comparison with biplane TEE in the intraoperative monitoring during cardiac surgery. A diagnostic multiplane TEE was performed in 400 patients in the immediate preoperative and postoperative periods. We systematically acquired cardiac images from the gastric fundus, lower esophagus, and upper esophagus; complete views of the descending aorta were also recorded. Usefulness of the different views in providing essential additional clinical information compared with exclusive transverse (0 to 20°) and longitudinal (70 to 110°) planes of the biplane TTE was assessed assuming that with manipulation of a biplane probe, a 20° arc could be added to the conventional horizontal and vertical planes. A high success rate of each view was demonstrated; anatomy and pathologic condition were best visualized in oblique planes. The method proved to be particularly useful in the preoperative and postoperative phases of aortic dissection (27 cases), aortic (65 cases) and mitral (35 cases) valve replacement, mitral valve repair (38 cases), left ventricular aneurysmectomy (25 cases), bleeding from proximal suture of an aortic heterograft (2 cases), and positioning of left ventricular hemopump (2 cases). Additional regional wall motion abnormalities of the right (four cases) and left ventricle (six cases) not appreciated in 0 to 20° or 70 to 110° planes were detected. Multiplane TEE is a useful clinical tool during intraoperative monitoring of cardiac surgery. Most structures of the heart and great vessels lie on oblique planes, while other views are optimized with the aid of slight angle corrections. This method improves the evaluation of anatomy and pathologic condition of the heart and great vessels, of native and prosthetic valves, and of left and right ventricular function.

AB - This study was undertaken to test whether multiplane transesophageal echocardiography (TEE) offers advantages in comparison with biplane TEE in the intraoperative monitoring during cardiac surgery. A diagnostic multiplane TEE was performed in 400 patients in the immediate preoperative and postoperative periods. We systematically acquired cardiac images from the gastric fundus, lower esophagus, and upper esophagus; complete views of the descending aorta were also recorded. Usefulness of the different views in providing essential additional clinical information compared with exclusive transverse (0 to 20°) and longitudinal (70 to 110°) planes of the biplane TTE was assessed assuming that with manipulation of a biplane probe, a 20° arc could be added to the conventional horizontal and vertical planes. A high success rate of each view was demonstrated; anatomy and pathologic condition were best visualized in oblique planes. The method proved to be particularly useful in the preoperative and postoperative phases of aortic dissection (27 cases), aortic (65 cases) and mitral (35 cases) valve replacement, mitral valve repair (38 cases), left ventricular aneurysmectomy (25 cases), bleeding from proximal suture of an aortic heterograft (2 cases), and positioning of left ventricular hemopump (2 cases). Additional regional wall motion abnormalities of the right (four cases) and left ventricle (six cases) not appreciated in 0 to 20° or 70 to 110° planes were detected. Multiplane TEE is a useful clinical tool during intraoperative monitoring of cardiac surgery. Most structures of the heart and great vessels lie on oblique planes, while other views are optimized with the aid of slight angle corrections. This method improves the evaluation of anatomy and pathologic condition of the heart and great vessels, of native and prosthetic valves, and of left and right ventricular function.

KW - cardiac surgery

KW - intraoperative monitoring

KW - multiplane transesophageal echocardiography

UR - http://www.scopus.com/inward/record.url?scp=0030062432&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030062432&partnerID=8YFLogxK

M3 - Article

C2 - 8620697

AN - SCOPUS:0030062432

VL - 109

SP - 305

EP - 311

JO - Chest

JF - Chest

SN - 0012-3692

IS - 2

ER -