• Rex Joseph Morais, Balakrishnan Ashokka, Suresh Paranjothy, and Chiang Siau.
• Department of Anesthesia, National University Health System, Singapore; Yong Loo Lin School of Medicine, National University of Singapore, Singapore. Electronic address: rex_joseph_morais@nuhs.edu.sg.
• J. Cardiothorac. Vasc. Anesth. 2017 Oct 1; 31 (5): 1728-1732.

AbstractEchocardiographic assessment of the repaired or replaced mitral valve intraoperatively involves making a high-impact joint decision with the surgeon, in a time-sensitive manner, in a dynamic clinical situation. These decisions have to take into account the degree of imperfection if any, the likelihood of obtaining a better result, the underlying condition of the patient, and the impact of a longer cardiopulmonary bypass period if the decision is made to reintervene. Traditional echocardiography teaching is limited in its ability to provide this training. The authors report the development and implementation of a training module simulating the dynamic clinical environment of a mitral valve surgery in progress and the critical echo-based intraoperative decision making involved in the assessment of the acceptability of the surgical result.Copyright © 2017 Elsevier Inc. All rights reserved.

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