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The Annals of Thoracic Surgery, Vol 52, 1306-1309, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Transesophageal echocardiography in patients with mechanical circulatory assistance

M Brack, JD Olson, WR Pedersen, IF Goldenberg, FL Gobel, MR Pritzker, RW Emery and HW Lange
Minneapolis Heart Institute, Abbott Northwestern Hospital, Minnesota.

Transesophageal echocardiography was used to assess myocardial function and to detect complications after mechanical circulatory support for 8 patients with cardiogenic shock. In 3 of 8 patients, serial transesophageal echocardiography documented improvement of systolic ventricular function, and it was possible to wean these 3 patients from the ventricular assist device. In all patients, transesophageal echocardiography added clinically important information including the extent of left and right ventricular dysfunction (6 patients), presence of atrial or ventricular thrombus (5 patients), presence of pericardial effusion or clot (2 patients), and verification of the position of the intravascular device (1 patient). Thus, transesophageal echocardiography may provide clinically useful information regarding both the underlying cardiac disease and potential complications from the mechanical circulatory assistance.


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A. J. Bryan, B. Barzilai, and N. T. Kouchoukos
Transesophageal Echocardiography and Adult Cardiac Operations
Ann. Thorac. Surg., March 1, 1995; 59(3): 773 - 779.
[Abstract] [Full Text]


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Copyright © 1991 by The Society of Thoracic Surgeons.