Journal of Perioperative Echocardiography

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2013 | January-June | Volume 1 | Issue 1

EDITORIAL

Balachundhar Subramaniam

Perioperative Transesophageal Echocardiography: Advances and Challenges

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:3] [Pages No:1 - 3]

PDF  |  DOI: 10.5005/jope-1-1-1  |  Open Access |  How to cite  | 

Abstract

How to cite this article

Subramaniam K, Subramaniam B, Puri GD. Perioperative Transesophageal Echocardiography: Advances and Challenges. J Perioper Echocardiogr 2013; 1(1):1-3.

REVIEW ARTICLE

Sundar Krishnan, Dallen Mill

Transesophageal Echocardiography in the Intensive Care Unit

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:12] [Pages No:4 - 15]

PDF  |  DOI: 10.5005/jp-journals-10034-1001  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Ashok Kumar Badamali, J Sethu Madhavan, BPS Ghuman, S Subash, Abhi Mishra, Ajay Mishra, VK Arya, Bhupesh Kumar, Aveek Jayant, KST Shyam, Sandeep Singh Rana, Sachin Kuthe, Sachin Mahajan, Shiva Prasad, Sarin Mathew, Inderjeet Arora

Routine Intraoperative Transesophageal Echocardiography: Impact on Intraoperative Surgical Decision Making, a Single Center Interim Analysis

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:5] [Pages No:16 - 20]

PDF  |  DOI: 10.5005/jp-journals-10034-1002  |  Open Access |  How to cite  | 

CASE REPORT

Stephen O Bader

Intraoperative Transesophageal Echocardiography in the Management of a Right Coronary Artery to Coronary Sinus Fistula

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:3] [Pages No:21 - 23]

PDF  |  DOI: 10.5005/jp-journals-10034-1003  |  Open Access |  How to cite  | 

CASE REPORT

H Singh, J Sethumadhavan, A Jayant

Tricuspid Valve Dilation in a Case of Ostium Secundum Atrial Septal Defect: Therapeutic Dilemmas in the Perioperative Period and a Call for Building the Evidence

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:3] [Pages No:24 - 26]

PDF  |  DOI: 10.5005/jp-journals-10034-1004  |  Open Access |  How to cite  | 

CASE REPORT

BM Shivaprasad, S Subash, A Jayant

Incidentally Detected Coronary Artery Fistula Detected on Routine Perioperative Transesophageal Echocardiography

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:3] [Pages No:27 - 29]

PDF  |  DOI: 10.5005/jp-journals-10034-1005  |  Open Access |  How to cite  | 

CASE REPORT

Stephen O Bader, Susie J Cho, James W Heitz

Venous Air Embolism during Anterior Lumbar Surgery

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:3] [Pages No:30 - 32]

PDF  |  DOI: 10.5005/jp-journals-10034-1006  |  Open Access |  How to cite  | 

RESEARCH ARTICLE

Naved Aslam, Bishav Mohan, PL Gautam, GS Wander, Rohit Tandon, Rakendra Singh, S Kumbhkarni

Selected Abstracts of the TEEPGI 2013 Workshop (1st to 3rd March 2013)

[Year:2013] [Month:January-June] [Volume:1] [Number:1] [Pages:5] [Pages No:33 - 37]

PDF  |  DOI: 10.5005/jope-1-1-33  |  Open Access |  How to cite  | 

Abstract

Background

Paravalvular or paraprosthetic leak (PVL) is a complication associated with the surgical/transcatheter implantation of a prosthetic heart valve, more commonly a mechanical than a bioprosthetic valve. Transthoracic echocardiography (TTE) is the most important diagnostic modality for prosthetic valve function/dysfunction. However, TTE often cannot differentiate the PVL from prosthetic regurgitation. Transesophageal echocardiography (TEE) is the modality of choice which is also able to detect small, nonsignificant jets.

Case Report

We present a case of 78-year-old male who had undergone mitral valve replacement with Epic St. Jude tissue valve 3 years back and now presented to our hospital with NYHA class III dyspnea since few months prior to admission. It was associated with cough with mucoid expectoration along with orthopnea. TTE revealed moderate PAH with increased gradient across bioprosthetic mitral valve with suspicion of peravalvular leak (Fig. 1). Three-dimensional (3D) volume rendering image analysis after cropping suggested oval perivalvular area of leakage which was confirmed with the help of 3D color rendering (Fig. 2). It showed early separation of perivalvular leak from paravalvular area.

Discussion

The majority of PVL are crescent, oval or roundish-shaped and their track can be parallel, perpendicular or serpiginous. Incidence of PVL, including small nonsignificant jets, is estimated to be as high as 20%.1 TEE is more useful than TTE in evaluating the shape of paravalvular defect. It may also help in assessing eccentric jets and differentiating between single and multiple jets. Major progress in TEE in the area of PVL imaging has been 3D reconstruction.2 A semiquantitative assessment of the size of PVL may be made by measurement of the ratio of total sewing ring circumference to the length of suture dehiscence (>10%: Mild, 10-20%: Moderate, >20%: Severe, >40%: Instability of the prosthetic valve).3

Conclusion

The TEE, especially if 3D volume rendering is used along with, provides a systematic method to accurately localize native and prosthetic mitral valve regurgitant lesions. Also, paravalvular leaks may be more easily delineated and quantified using 3D echo. Due to accurate localization of the defects, this modality helps to improve the preoperative assessment and decisions about patients with significant mitral regurgitation.

journal videos

Coronary Sinus with CFD

Coronary Sinus with CFD

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Deep Four Chamber View of RCA to CS Fistula

Deep Four Chamber View of RCA to CS Fistula

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Dilated RCA Next to RV

Dilated RCA Next to RV

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Long-axis View of RCA

Long-axis View of RCA

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Postinfarct Intracardiac Mass with Severe Mitral Regurgitation Late Rupture of One of the Heads of Posteriomedial Papillary Muscle - Movie 1

Postinfarct Intracardiac Mass with Severe Mitral Regurgitation: Late Rupture of One of the Heads of Posteriomedial Papillary Muscle

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Postinfarct Intracardiac Mass with Severe Mitral Regurgitation Late Rupture of One of the Heads of Posteriomedial Papillary Muscle - Movie 2

Postinfarct Intracardiac Mass with Severe Mitral Regurgitation: Late Rupture of One of the Heads of Posteriomedial Papillary Muscle

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Video 1 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 1: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 2 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 2: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 3 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 3: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 4 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 4: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 5 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 5: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 6 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 6: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 7 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 7: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 8 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 8: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

Size: 209 KB

Video 9 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 9: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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Video 10 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 10: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

Size: 209 KB

Video 11 Echocardiographic Assessment of Mitral Stenosis Key Learning Points for FellowsResidents in Training

Video 11: Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training

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video 1 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

video 1 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transes...

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video 2 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

video 2 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transes...

Size: 75 KB

video 3 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

video 3 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transes...

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video 4 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

video 4 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transes...

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video 5 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transesophageal Echo

video 5 Unanticipated Ruptured Sinus of Valsalva Aneurysm in a Patient with Subpulmonic Ventricular Septum Defect Suspected by Intraoperative Transthoracic Echo; Confirmed by Intraoperative Transes...

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video 1 Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm

video 1: Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm

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video 2 Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm

video 2: Intraoperative Detection of Ascending Aortic Dissection by Transesophageal Echocardiography in a Patient with Bicuspid Aortic Valve and Ascending Aortic Aneurysm

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video 1 Hypertrophied Papillary Muscle causing Mid Cavity Left Ventricular Obstruction after Cardiac Surgery

video 1: Hypertrophied Papillary Muscle causing Mid Cavity Left Ventricular Obstruction after Cardiac Surgery

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video 2 Hypertrophied Papillary Muscle causing Mid Cavity Left Ventricular Obstruction after Cardiac Surgery

video 2: Hypertrophied Papillary Muscle causing Mid Cavity Left Ventricular Obstruction after Cardiac Surgery

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video 1 Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

video 1: Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

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video 2 Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

video 2: Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

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video 3 Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

video 3: Role of Transesophageal Echocardiography in Detection of Residual Tumor in Renal Cell Carcinoma Extending into Right Atrium

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Video 1 Pulmonary Artery Perforation: Rare reported Complication of Pericardiectomy for Chronic Constrictive Pericarditis recorded on Transesophageal Echocardiography

Video 1: Pulmonary Artery Perforation: Rare reported Complication of Pericardiectomy for Chronic Constrictive Pericarditis recorded on Transesophageal Echocardiography

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Video 1 Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

Video 1: Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

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Video 2 Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

Video 2: Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

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Video 3 Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

Video 3: Transesophageal Echocardiographic Evaluation of Crisscross Heart with Atrioventricular Valve Regurgitation for Fontan Procedure

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Video 1 Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Video 1: Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

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Video 2 Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Video 2: Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

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Video 3 Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

Video 3: Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography

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