Michel-Cherqui M, Ceddaha A, Liu N, Schlumberger S, Szekely B, Brusset A, Bonnet V, Bachet J, Goudot B, Dreyfus G, Guilmet D, Fischler M
Département d'Anesthésie and the Service de Chirurgie Cardio-Vasculaire, Hôpital Foch, Suresnes, France.
J Cardiothorac Vasc Anesth. 2000 Feb;14(1):45-50. doi: 10.1016/s1053-0770(00)90055-7.
To determine the usefulness of systematic intraoperative transesophageal echocardiography in a cardiac surgical unit.
Open prospective observational survey.
University Hospital.
Consecutive adult patients (n = 203) undergoing elective or urgent cardiac operations.
Pre-cardiopulmonary bypass imaging yielded unsuspected findings in 26 patients (12.8%) and changed the planned surgery in 22 patients (10.8%). Transesophageal echocardiography modified the diagnosis in eight patients (17%) operated on for mitral valvulopathy, in seven patients (15.5%) with aortic valvular disease, in four patients (4.6%) with coronary artery disease, in five patients operated on for thoracic aorta diseases regardless of their localization (18.5%), and in two miscellaneous cases. On the basis of the data obtained from the transesophageal echocardiography carried out at the end of cardiopulmonary bypass, an immediate reintervention was required in five cases (2.5%).
It is concluded that systematic intraoperative transesophageal echocardiography significantly affected decision making in this cardiac surgical unit. Its routine use in all cardiac surgical patients is recommended.
确定系统性术中经食管超声心动图在心脏外科病房的实用性。
开放性前瞻性观察性调查。
大学医院。
连续的成年患者（n = 203），接受择期或急诊心脏手术。
体外循环前成像在26例患者（12.8%）中发现了意外情况，在22例患者（10.8%）中改变了计划的手术方案。经食管超声心动图改变了8例二尖瓣病变手术患者（17%）、7例主动脉瓣疾病患者（15.5%）、4例冠状动脉疾病患者（4.6%）、5例无论病变部位的胸主动脉疾病手术患者（18.5%）以及2例其他病例的诊断。基于体外循环结束时经食管超声心动图获得的数据，5例患者（2.5%）需要立即再次干预。
得出结论，系统性术中经食管超声心动图显著影响了该心脏外科病房的决策制定。建议在所有心脏手术患者中常规使用。
