Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 4 , Pages 486-491 , August 2007

Transmitral Flow Propagation Velocity and Assessment of Diastolic Function During Abdominal Aortic Aneurysm Repair

  • Feroze Mahmood, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • Corresponding Author InformationAddress reprint requests to Feroze Mahmood, MD, 3 Fairbanks Road, Sharon, MA 02067.
    • ,
  • Robina Matyal, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • ,
  • Balachundar Subramaniam, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • ,
  • John Mitchell, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • ,
  • Frank Pomposelli, MD

      Affiliations

    • Department of Vascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • ,
  • Adam B. Lerner, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
    • ,
  • Andrew Maslow, MD

      Affiliations

    • Department of Anesthesia, Rhode Island Hospital, Brown University Medical School, Providence, RI.
    • ,
  • Philip M. Hess, MD

      Affiliations

    • Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

References 

  1. Attia RR, Murphy JD, Snider M, et al. Myocardial ischemia due to infrarenal aortic cross-clamping during aortic surgery in patients with severe coronary artery disease. Circulation. 1976;53:961–965
  2. Roizen MF, Beaupre PN, Alpert RA, et al. Monitoring with two-dimensional transesophageal echocardiography (Comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion). J Vasc Surg. 1984;1:300–305
  3. Bernard F, Denault A, Babin D, et al. Diastolic dysfunction is predictive of difficult weaning from cardiopulmonary bypass. Anesth Analg. 2001;92:291–298
  4. Meierhenrich R, Gauss A, Anhaeupl T, et al. Analysis of diastolic function in patients undergoing aortic aneurysm repair and impact on hemodynamic response to aortic cross-clamping. J Cardiothorac Vasc Anesth. 2005;19:165–172
  5. Phillip B, Pastor D, Bellows W, et al. The prevalence of preoperative diastolic filling abnormalities in geriatric surgical patients. Anesth Analg. 2003;97:1214–1221
  6. Poerner TC, Goebel B, Unglaub P, et al. Detection of a pseudonormal mitral inflow pattern: An echocardiographic and tissue Doppler study. Echocardiography. 2003;20:345–356
  7. Rakowski H, Appleton C, Chan KL, et al. Canadian consensus recommendations for the measurement and reporting of diastolic dysfunction by echocardiography: From the Investigators of Consensus on Diastolic Dysfunction by Echocardiography. J Am Soc Echocardiogr. 1996;9:736–760
  8. Khouri SJ, Maly GT, Suh DD, et al. A practical approach to the echocardiographic evaluation of diastolic function. J Am Soc Echocardiogr. 2004;17:290–297
  9. Redfield MM, Jacobsen SJ, Burnett JC, et al. Burden of systolic and diastolic ventricular dysfunction in the community: Appreciating the scope of the heart failure epidemic. JAMA. 2003;289:194–202
  10. Brun P, Tribouilloy C, Duval AM, et al. Left ventricular flow propagation during early filling is related to wall relaxation: A color M-mode Doppler analysis. J Am Coll Cardiol. 1992;20:420–432
  11. Djaiani GN, McCreath BJ, Ti LK, et al. Mitral flow propagation velocity identifies patients with abnormal diastolic function during coronary artery bypass graft surgery. Anesth Analg. 2002;95:524–530
  12. Garcia MJ, Thomas JD, Klein AL. New Doppler echocardiographic applications for the study of diastolic function. J Am Coll Cardiol. 1998;32:865–875
  13. Shanewise JS, Cheung AT, Aronson S, et al. ASE/SCA guidelines for performing a comprehensive intraoperative multiplane transesophageal echocardiography examination: Recommendations of the American Society of Echocardiography Council for Intraoperative Echocardiography and the Society of Cardiovascular Anesthesiologists Task Force for Certification in Perioperative Transesophageal Echocardiography. Anesth Analg. 1999;89:870–884
  14. Takatsuji H, Mikami T, Urasawa K, et al. A new approach for evaluation of left ventricular diastolic function: Spatial and temporal analysis of left ventricular filling flow propagation by color M-mode Doppler echocardiography. J Am Coll Cardiol. 1996;27:365–371
  15. Yamada H, Goh PP, Sun JP, et al. Prevalence of left ventricular diastolic dysfunction by Doppler echocardiography: clinical application of the Canadian consensus guidelines. J Am Soc Echocardiogr. 2002;15:1238–1244
  16. Dumesnil JG, Gaudreault G, Honos GN, et al. Use of Valsalva maneuver to unmask left ventricular diastolic function abnormalities by Doppler echocardiography in patients with coronary artery disease or systemic hypertension. Am J Cardiol. 1991;68:515–519
  17. Appleton CP, Jensen JL, Hatle LK, et al. Doppler evaluation of left and right ventricular diastolic function: A technical guide for obtaining optimal flow velocity recordings. J Am Soc Echocardiogr. 1997;10:271–292
  18. Gelman S. The pathophysiology of aortic cross-clamping and unclamping. Anesthesiology. 1995;82:1026–1060
  19. Anguissola GB, Mangiarotti R, Pierini A, et al. [Wall stress in the assessment of left ventricular function in surgery of abdominal aortic aneurysm. Validity and importance of transesophageal echocardiography (TEE) in intraoperative monitoring]. ] Minerva Anestesiol. 1994;60:237–244
  20. Gillespie DL, Connelly GP, Arkoff HM, et al. Left ventricular dysfunction during infrarenal abdominal aortic aneurysm repair. Am J Surg. 1994;168:144–147
  21. Nishimura RA, Tajik AJ. Evaluation of diastolic filling of left ventricle in health and disease: Doppler echocardiography is the clinician’s Rosetta Stone. J Am Coll Cardiol. 1997;30:8–18
  22. Maurer MS, Spevack D, Burkhoff D, et al. Diastolic dysfunction: Can it be diagnosed by Doppler echocardiography?. J Am Coll Cardiol. 2004;44:1543–1549
  23. Appleton CP, Hatle LK, Popp RL. Relation of transmitral flow velocity patterns to left ventricular diastolic function: New insights from a combined hemodynamic and Doppler echocardiographic study. J Am Coll Cardiol. 1988;12:426–440
  24. Choong CY, Abascal VM, Thomas JD, et al. Combined influence of ventricular loading and relaxation on the transmitral flow velocity profile in dogs measured by Doppler echocardiography. Circulation. 1988;78:672–683
  25. Anke A, Wijbenga M, Mosterd A, et al. Potentials and limitations of the Valsalva maneuver as a method of differentiating between normal and pseudonormal left ventricular filling patterns. Am J Cardiol. 1999;84:76–81
  26. Su HM, Lin TH, Voon WC, et al. Differentiation of left ventricular diastolic dysfunction, identification of pseudonormal/restrictive mitral inflow pattern and determination of left ventricular filling pressure by Tei index obtained from tissue Doppler echocardiography. Echocardiography. 2006;23:287–294
  27. Hill JC, Palma RA. Doppler tissue imaging for the assessment of left ventricular diastolic function: A systematic approach for the sonographer. J Am Soc Echocardiogr. 2005;18:80–88
  28. Garcia MJ, Ares MA, Asher C, et al. An index of early left ventricular filling that combined with pulsed Doppler peak E velocity may estimate capillary wedge pressure. J Am Coll Cardiol. 1997;29:448–454
  29. Klein AL, Canale MP, Rajagopalan N, et al. Role of transesophageal echocardiography in assessing diastolic dysfunction in a large clinical practice: A 9-year experience. Am Heart J. 1999;138:880–889

PII: S1053-0770(07)00032-8

doi: 10.1053/j.jvca.2007.01.023

Journal of Cardiothoracic and Vascular Anesthesia
Volume 21, Issue 4 , Pages 486-491 , August 2007

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