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04-04-2024 | Heart Surgery | Echocardiography (JM Gardin and AH Waller, Section Editors)

Intraoperative Echocardiography: Guide to Decision-Making

Authors: Michael Cutrone, Sarah Cotter, Madhav Swaminathan, Sharon McCartney

Published in: Current Cardiology Reports | Issue 6/2024

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Abstract

Purpose of Review

This review aims to provide a concise overview of key recommendations, with a specific focus on common challenges faced by intraoperative echocardiographers when dealing with frequently encountered valvular pathologies and mechanical circulatory support. It offers valuable insights for medical practitioners in this field.

Recent Findings

The American Society of Echocardiography (ASE) and the American College of Cardiology/American Heart Association (ACC/AHA) have released updated comprehensive guidelines for the use of transesophageal echocardiography (TEE) for the assessment of cardiac structures and implanted devices to help guide intraoperative decision-making.

Summary

Transesophageal echocardiography (TEE) is a regularly employed intraoperative diagnostic and monitoring tool, offering various modalities for the rapid evaluation of valvular and aortic pathology, hemodynamic disturbances, and cardiac function. It is particularly valuable in assessing and placing mechanical circulatory support (MCS) devices, providing views often challenging to obtain through transthoracic echocardiography. Additionally, intraoperative TEE can be used for decision-making in patients with valvular disease allowing incorporation of patient-specific and situational factors. Echocardiographers can employ this information in real-time to help guide surgical treatment selection such as repair, replacement, or deferral of intervention.
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Metadata
Title
Intraoperative Echocardiography: Guide to Decision-Making
Authors
Michael Cutrone
Sarah Cotter
Madhav Swaminathan
Sharon McCartney
Publication date
04-04-2024

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