| English |
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| Title | The Usefulness of Transesophageal Two-Dimensional Color Doppler Echocardiography in Mitral Valve Surgery |
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| Subtitle | Original |
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| Authors | Hiroshi Kitahata*, Yong W.Hong**, Donato A.Sisto***, Paul L.Goldiner**, Yasu Oka** |
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| Authors(kana) | |
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| Organization | *Department of Anesthesiology Tokushima University School of Medicine, **Department of Anesthesiology Albert Einstein College of Medicine/Montefiore Medical Center, ***Department of Cardiothoracic Surgery Albert Einstein College of Medicine/Montefiore Medical Center |
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| Journal | Circulation Control |
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| Volume | 12 |
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| Number | 2 |
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| Page | 315-321 |
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| Year/Month | 1991/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | 「Abstract」To assess the usefulness of transesophageal two-dimensional color Doppler echocardiography (TEE) in valvular surgery, 31 patients scheduled for mitral valve surgery were studied. In 14 patients, epicardial echocardiography was also compared with TEE. Intraoperative diagnosis was discrepant from preoperative one in 1 of 31 cases, and the planned procedure was altered by intraoperative TEE findings. By TEE mitral valve repair was found inadequate in 3 of 17 cases resulted in further operation (2 ; mitral valve replacement, 1 ; tircuspid annuloplasty and revision of mitral valve repair). TEE could detect mitral regurgitation (MR) more than epicardial approach significantly. Of 15 cases undergoing mitral valve replacement, transvalvular MR jets were observed in 4 of 8 patients with bioprosthetic valve and in all 7 patients with mechanical prosthetic valve. Thus TEE can provide continuous intraoperative assessment of valvular function, and is helpful for surgeons to make their decision for an appropriate surgical procedure. |
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| Practice | Basic medicine |
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