Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota.
Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, Minnesota.
J Am Soc Echocardiogr. 2020 Jun;33(6):735-755.e11. doi: 10.1016/j.echo.2020.01.012. Epub 2020 Apr 10.
Intraoperative transesophageal echocardiography is a mature imaging modality and critical component of contemporary heart surgery, in which it plays a key role in surgical planning, determination of cardiac chamber filling and function early after cardiopulmonary bypass, and timely assessment of surgical interventions. Intraoperative transesophageal echocardiography affords the unique opportunity to correct suboptimal surgical results before leaving the operating room. Herein, the authors provide a comprehensive review of their institution's experience with intraoperative transesophageal echocardiography, emphasizing a practical assessment of commonly encountered noncongenital surgical heart lesions in adults, anticipation of potential surgical complications, and imaging approaches to facilitate timely surgical correction of unsatisfactory results.
术中经食管超声心动图是一种成熟的成像方式，也是当代心脏手术的关键组成部分，它在手术计划、心肺转流后早期心脏腔室充盈和功能的确定以及手术干预的及时评估中发挥着关键作用。术中经食管超声心动图提供了在离开手术室之前纠正手术结果不理想的独特机会。在此，作者全面回顾了他们机构在术中经食管超声心动图方面的经验，重点是对成人常见的非先天性心脏手术病变进行实用评估，预测潜在的手术并发症，并采用影像学方法及时纠正不满意的手术结果。
