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Ann Thorac Surg 1991;52:1306-1309
© 1991 The Society of Thoracic Surgeons

Articles

Transesophageal echocardiography in patients with mechanical circulatory assistance

Martin Brack, MD, Jeanne D. Olson, RDMS, Wes R. Pedersen, MD*, Irvin F. Goldenberg, MD, Fredarick L. Gobel, MD, Marc R. Pritzker, MD, Robert W. Emery, MD, Helmut W. Lange, MD

Minneapolis Heart Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota USA

Accepted for publication July 17, 1991.

* Address reprint requests to Dr Pedersen, 920 East 28th St, Suite 160, Minneapolis, MN 55407 USA.

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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Copyright © 1991 by The Society of Thoracic Surgeons.