Journal of Cardiothoracic and Vascular Anesthesia
Volume 23, Issue 3 , Pages 292-297 , June 2009

The Role of Epicardial Echocardiography in the Measurement of Transvalvular Flow Velocities During Aortic Valve Replacement

Presented at the American Society of Anesthesiologists Meeting, San Francisco, CA, October 14, 2007.

  • Ravi Taneja, FRCA

      Affiliations

    • Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • Corresponding Author InformationAddress reprint requests to Ravi Taneja, MBBS, MD, FFARCSI, FRCA, Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, 339 Windermere Road, London, ON N6A 5A5, Canada
    • ,
  • Bert Quaghebeur, MD

      Affiliations

    • Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • ,
  • Larry W. Stitt, MSc

      Affiliations

    • Department of Epidemiology and Biostatistics, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • ,
  • Mackenzie A. Quantz, FRCSC

      Affiliations

    • Division of Cardiovascular and Thoracic Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • ,
  • Lin R. Guo, MD

      Affiliations

    • Division of Cardiovascular and Thoracic Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • ,
  • Bob Kiaii, FRCSC

      Affiliations

    • Division of Cardiovascular and Thoracic Surgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada
    • ,
  • Daniel T. Bainbridge, FRCPC

      Affiliations

    • Department of Anesthesia and Perioperative Medicine, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada

References 

  1. Rosenhek R, Binder T, Maurer G. Intraoperative transesophageal echocardiography in valve replacement surgery. Echocardiography. 2002;19:701–707
  2. Nowrangi SK, Connolly HM, Freeman WK, et al. Impact of intraoperative transesophageal echocardiography among patients undergoing aortic valve replacement for aortic stenosis. J Am Soc Echocardiogr. 2001;14:863–866
  3. Currie PJ, Stewart WJ. Intraoperative echocardiography for surgical repair of the aortic valve and left ventricular outflow tract. Echocardiography. 1990;7:273–288
  4. Kallmeyer IJ, Collard CD, Fox JA, et al. The safety of intraoperative transesophageal echocardiography: A case series of 7200 cardiac surgical patients. Anesth Analg. 2001;92:1126–1130
  5. Lennon MJ, Gibbs NM, Weightman WM, et al. Transesophageal echocardiography-related gastrointestinal complications in cardiac surgical patients. J Cardiothorac Vasc Anesth. 2005;19:141–145
  6. Miller JP, Lambert AS, Shapiro WA, et al. The adequacy of basic intraoperative transesophageal echocardiography performed by experienced anesthesiologists. Anesth Analg. 2001;92:1103–1110
  7. Reeves ST, Glas KE, Eltzschig H, et al. Guidelines for performing a comprehensive epicardial echocardiography examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. Anesth Analg. 2007;105:22–28
  8. Glas KE, Swaminathan M, Reeves ST, et al. Guidelines for the performance of a comprehensive intraoperative epiaortic ultrasonographic examination: recommendations of the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists: Endorsed by the Society of Thoracic Surgeons. J Am Soc Echocardiogr. 2007;20:1227–1235
  9. Frenk VE, Shernan SK, Eltzschig HK. Epicardial echocardiography: Diagnostic utility for evaluating aortic valve disease during coronary surgery. J Clin Anesth. 2003;15:271–274
  10. Edrich T, Shernan SK, Smith B, et al. Usefulness of intraoperative epiaortic echocardiography to resolve discrepancy between transthoracic and transesophageal measurements of aortic valve gradient—A case report. Can J Anaesth. 2003;50:293–296
  11. 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
  12. Maslow AD, Haering JM, Heindel S, et al. An evaluation of prosthetic aortic valves using transesophageal echocardiography: The double-envelope technique. Anesth Analg. 2000;91:509–516
  13. Maslow AD, Mashikian J, Haering JM, et al. Transesophageal echocardiographic evaluation of native aortic valve area: Utility of the double-envelope technique. J Cardiothorac Vasc Anesth. 2001;15:293–299
  14. Eltzschig HK, Kallmeyer IJ, Mihaljevic T, et al. A practical approach to a comprehensive epicardial and epiaortic echocardiographic examination. J Cardiothorac Vasc Anesth. 2003;17:422–429
  15. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307–310
  16. Muhiudeen IA, Roberson DA, Silverman NH, et al. Intraoperative echocardiography in infants and children with congenital cardiac shunt lesions: transesophageal versus epicardial echocardiography. J Am Coll Cardiol. 1990;16:1687–1695
  17. Sreeram N, Kaulitz R, Stumper OF, et al. Comparative roles of intraoperative epicardial and early postoperative transthoracic echocardiography in the assessment of surgical repair of congenital heart defects. J Am Coll Cardiol. 1990;16:913–920
  18. Willett DL, Hall SA, Jessen ME, et al. Assessment of aortic regurgitation by transesophageal color Doppler imaging of the vena contracta: Validation against an intraoperative aortic flow probe. J Am Coll Cardiol. 2001;37:1450–1455
  19. Stumper O, Kaulitz R, Sreeram N, et al. Intraoperative transesophageal versus epicardial ultrasound in surgery for congenital heart disease. J Am Soc Echocardiogr. 1990;3:392–401
  20. Levy L, Martin JL, Deeb GM, et al. Intraoperative transesophageal echocardiography after aortic valve replacement does not predict subsequent transvalvular gradients. J Heart Valve Dis. 2004;13:881–886

PII: S1053-0770(09)00008-1

doi: 10.1053/j.jvca.2009.01.007

Journal of Cardiothoracic and Vascular Anesthesia
Volume 23, Issue 3 , Pages 292-297 , June 2009

Article Tools

* Image Usage & Resolution