Linked Life Data

3439252

Source:http://linkedlifedata.com/resource/pubmed/id/3439252

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
1988-4-7
pubmed:abstractText
To obtain good results in cardiac valve reconstruction surgery it is necessary to assess intraoperatively the efficiency of mitral or tricuspid valve repair. In 15 patients (three with mitral stenosis, 12 with mitral insufficiency) the mitral valve, in eight patients the tricuspid valve and in two patients both av-valves were reconstructed individually by commissurotomy and/or annulorrhaphy. During cardiac arrest, the valves were tested by filling the left or right ventricle with saline solution. After weaning from the extra-corporeal-circulation (ECC) I-2 cm3 of agitated Gelifundol were injected into the ventricle and the amount of regurgitation of micro-bubbles into the atrium was assessed by intraoperative two-dimensional transesophageal echocardiography. In 20 patients, testing during cardiac arrest and contrast echocardiography showed identical and good results. In two patients, the efficiency of mitral or tricuspid reconstruction could be finally verified by transoesophageal echocardiography. In another patient who was operated because of HOCM and a severe mitral insufficiency, the Bigelow procedure was combined with mitral valve reconstruction. Intraoperative open testing showed a good functional result, but a remaining severe mitral insufficiency was detected by transesophageal contrast echocardiography. An intraoperative decision for valve replacement was made. Our results show that transesophageal contrast echocardiography is a simple and accurate method of assessing the efficiency of valve reconstruction procedures. In some cases it gives more information than testing during cardiac arrest.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0300-5860
pubmed:author
pubmed:issnType
Print
pubmed:volume
76
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
779-83
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1987
pubmed:articleTitle
[Intraoperative assessment of the reconstruction of atrioventricular valves using transesophageal echocardiography].
pubmed:affiliation
Abteilung für Herz-, Thorax- und Gefässchirurgie, Universitätskliniken Mainz.
pubmed:publicationType
Journal Article, English Abstract