• J Am Soc Echocardiogr · Apr 2014

    Review

    Intraoperative transesophageal echocardiography for surgical repair of mitral regurgitation.

    • David Andrew Sidebotham, Sara Jane Allen, Ivor L Gerber, and Trevor Fayers.
    • Department of Anesthesia, The Cardiovascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand. Electronic address: dsidebotham@adhb.govt.nz.
    • J Am Soc Echocardiogr. 2014 Apr 1; 27 (4): 345-66.

    AbstractSurgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative period. A careful and systematic transesophageal echocardiographic examination is necessary to ensure that appropriate information is obtained and that the correct diagnoses are obtained before and after repair. The purpose of this article is to provide a practical guide for perioperative echocardiographers caring for patients undergoing surgical repair of mitral regurgitation. A guide to performing a systematic transesophageal echocardiographic examination of the mitral valve is provided, along with an approach to prerepair and postrepair assessment. Additionally, the anatomy and function of normal and regurgitant mitral valves are reviewed. Copyright © 2014 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

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