• J. Cardiothorac. Vasc. Anesth. · Jul 2023

    Editorial

    Indispensable Role of Transesophageal Echocardiography in Double-Chamber Right Ventricle Repair Surgery.

    • Jitin Narula, Piyush Bansal, and Nitin Rajput.
    • Department of Anesthesia, Narayana Super Specialty Hospital, Gurugram, Haryana, India; Department of Cardiac Anaesthesia, Amrita Institute of Medical Sciences, Faridabad, Haryana, India. Electronic address: jatin.narula.13@gmail.com.
    • J. Cardiothorac. Vasc. Anesth. 2023 Jul 1; 37 (7): 132113231321-1323.

    AbstractDouble-chamber right ventricle repair surgery requires the excision of anomalous obstructive muscular or fibromuscular bundles in the right ventricular outflow tract. Because of the close proximity of key structures in the right ventricular outflow tract, the surgery is extremely challenging and requires precise resection. Underresection of the muscle bands can lead to significant residual gradients in the postoperative period, whereas overenthusiastic resection can cause iatrogenic injury to surrounding structures. Various techniques like Hegar sizing by the surgeons, direct chamber pressure measurement, transesophageal echocardiography, and epicardial echocardiography can guide the surgeons about the adequacy of repair. Transesophageal echocardiography is crucial at each step, as it can precisely determine the exact site of obstruction in the preoperative period. Postoperatively, it helps determine the adequacy of surgical repair and identification of inadvertent iatrogenic complications.Copyright © 2023 Elsevier Inc. All rights reserved.

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