经食管超声心动图评估修复的二尖瓣:一种建议的决策途径。

IF 1.1 Q3 ANESTHESIOLOGY
Jose Liza Reshmi, G Gopan, Praveen Kerala Varma, Madathil Thushara, Vanga Babu Sudheer, Rajesh Gopalakrishnan Madavathazhathil, Aveek Jayant
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引用次数: 4

摘要

二尖瓣修复的适应症涵盖了退行性二尖瓣疾病的整个范围,从纤维弹性变性到Barlow病。外科医生和麻醉师之间的合作对于确保最佳结果至关重要。超声心动图对修复的评估可能具有挑战性,但对手术的成功至关重要,因为即使是轻微的二尖瓣残余返流也可能预示着不良的患者预后。除了确定残余反流的严重程度外,麻醉师还必须阐明疾病的机制,以便告知适当的再干预措施。最后,二尖瓣手术有一些独特的并发症,麻醉医师需要通过超声心动图来了解和评估。这篇综述描述了手术修复后二尖瓣术中综合评估的系统途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transesophageal Echocardiographic Assessment of the Repaired Mitral Valve: A Proposed Decision Pathway.

The indications for mitral valve repair extend across the entire spectrum of degenerative mitral valve disease, ranging from fibroelastic degeneration to Barlow's disease. Collaboration between the surgeon and anesthesiologist is essential for ensuring optimal results. Echocardiographic assessment of the repair can be challenging but is essential to the success of the procedure, as even mild residual mitral regurgitation can portend poor patient outcomes. In addition to determining the severity of residual regurgitation, the anesthesiologist must elucidate the mechanism of disease in order to inform appropriate re-intervention measures. Finally, there are unique complications of mitral valve surgery for the anesthesiologist to understand and assess by echocardiography. This review describes a systematic pathway for a comprehensive intraoperative assessment of the mitral valve following surgical repair.

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来源期刊
CiteScore
3.60
自引率
14.30%
发文量
31
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