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. 2009 Oct;54(2):282-8.
doi: 10.1016/j.jjcc.2009.06.001. Epub 2009 Jul 18.

Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery: experience in 1011 cases

Chikage Kihara  1 , Kazuya Murata, Yasuaki Wada, Yasuyuki Hadano, Rikimaru Ohyama, Shinichi Okuda, Takeo Tanaka, Yoshio Nose, Yasuhiro Fukagawa, Hiroko Yoshino, Takehisa Susa, Akihito Mikamo, Akira Furutani, Toshiro Kobayashi, Kimikazu Hamano, Masunori Matsuzaki
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Impact of intraoperative transesophageal echocardiography in cardiac and thoracic aortic surgery: experience in 1011 cases

Chikage Kihara et al. J Cardiol. 2009 Oct.

Abstract

Background: Although intraoperative transesophageal echocardiography (IOTEE) has been widely used in cardiovascular surgery, the exact incidence of abnormalities detected by IOTEE in each type of surgical procedure is still unclear. The aim of this study was to review our experiences of IOTEE, in patients who underwent different types of cardiovascular surgery and to evaluate the clinical usefulness of IOTEE.

Methods and results: Our database of 1011 consecutive patients, who underwent cardiovascular surgery and IOTEE monitoring was reviewed. The incidence of abnormal findings was 115 of 1011 patients (11.4%), and the highest incidence was the appearance of new wall motion abnormalities after cardiopulmonary bypass. These findings influenced surgical decision-making in 59 of the evaluated 1011 patients (5.8%).

Conclusions: IOTEE provides important intraoperative and postoperative information that may influence surgical decision-making in various cardiovascular surgeries.

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