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Ann Thorac Surg 1987;43:674-675
© 1987 The Society of Thoracic Surgeons

Articles

Intraoperative, Two-Dimensional Echocardiography-Guided Removal of Retained Intracardiac Air

James T. Diehl, M.D.*, Douglas Ramos, M.D., Frederick Dougherty, M.D., Natessa G. Pandian, M.D., Douglas D. Payne, M.D., Richard J. Cleveland, M.D.

From the Departments of Cardiothoracic Surgery, Cardiology, and Radiology, Tufts–New England Medical Center, Boston, MA

Accepted for publication September 30, 1986.

* Address reprint requests to Dr. Diehl, Department of Cardiothoracic Surgery, Tufts–New England Medical Center, 171 Harrison Ave, Boston, MA 02111

The removal of intracardiac air after cardiotomy may be simplified with the use of two-dimensional echocardiography. This technique can be used to readily identify retained pockets of air and can function as a guide to needle aspiration of the ventricular chambers. With a valve prosthesis in place, de-airing can be accomplished with minimal displacement of the heart. The technique is easy to use and the images are simple to interpret.




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