TY - JOUR. T1 - Redundant mitral valve simulating an intracardiac mass on transesophageal echocardiography. AU - Willens, H. J.. AU - Chakko, S.. AU - Levy, R.. AU - Bauerlein, Eugene. AU - Kessler, K. M.. PY - 1994/1/1. Y1 - 1994/1/1. N2 - Cardiac ultrasound is a useful diagnostic modality for the evaluation of cardiac masses and tumors. However, normal cardiac structures and normal variants can mimic masses with both transthoracic echocardiography and transesophageal echocardiography. We report two patients in whom a redundant mitral leaflet simulated cardiac tumor attached to the mitral valve by transesophageal echocardiography.. AB - Cardiac ultrasound is a useful diagnostic modality for the evaluation of cardiac masses and tumors. However, normal cardiac structures and normal variants can mimic masses with both transthoracic echocardiography and transesophageal echocardiography. We report two patients in whom a redundant mitral leaflet simulated cardiac tumor attached to the mitral valve by ...
A transesophageal echocardiogram (TEE) is a diagnostic procedure that uses echocardiography to assess the hearts function. Echocardiography is a procedure used to assess the hearts function and structures. During the procedure, a transducer (like a microphone) sends out ultrasonic sound waves at a frequency too high to be heard. When the transducer is placed on the chest at certain locations and angles, the ultrasonic sound waves move through the skin and other body tissues to the heart tissues, where the waves bounce or "echo" off of the heart structures. The transducer picks up the reflected waves and sends them to a computer. The computer displays the echoes as images of the heart walls and valves.. A transesophageal echocardiogram is performed by inserting a probe with a transducer down the esophagus rather than placing the transducer on the chest. The TEE transducer works in the same manner as the one described above.. By inserting the transducer in the esophagus, TEE provides a clearer ...
A transesophageal echocardiogram (TEE) is a diagnostic procedure that uses echocardiography to assess the hearts function. Echocardiography is a procedure used to assess the hearts function and structures. During the procedure, a transducer (like a microphone) sends out ultrasonic sound waves at a frequency too high to be heard. When the transducer is placed on the chest at certain locations and angles, the ultrasonic sound waves move through the skin and other body tissues to the heart tissues, where the waves bounce or "echo" off of the heart structures. The transducer picks up the reflected waves and sends them to a computer. The computer displays the echoes as images of the heart walls and valves.. A transesophageal echocardiogram is performed by inserting a probe with a transducer down the esophagus rather than placing the transducer on the chest. The TEE transducer works in the same manner as the one described above.. By inserting the transducer in the esophagus, TEE provides a clearer ...
Objective: To compare the value of current harmonic transthoracic and transesophageal echocardiography for assessing echocardiographic markers of thromboembolic risk and identify left atrial thrombi in patients with atrial fibrillation and atrial flutter prior to cardioversion and/or overdrive stimulation. Transesophageal echocardiography has been suggested for guiding cardioversion in patients with atrial fibrillation and atrial flutter, because of its high accuracy for identifying left atrial thrombi. More recent studies have demonstrated that harmonic echocardiography may allow transthoracic detection of left atrial thrombi and assessment of left atrial appendage function. Setting: Tertiary cardiac referral centre. 172 Patients with atrial fibrillation and/or atrial flutter who were scheduled for cardioversion and/or overdrive stimulation were examined both by harmonic transthoracic and multiplane transesophageal echocardiography by independent observers to assess left atrial chamber and ...
A transesophageal echocardiogram, or TEE (TOE in the United Kingdom, reflecting the spelling transoesophageal), is an alternative way to perform an echocardiogram. A specialized probe containing an ultrasound transducer at its tip is passed into the patients esophagus. This allows image and Doppler evaluation which can be recorded. It has several advantages and some disadvantages compared with a transthoracic echocardiogram (TTE). Specialty medicine professional organizations recommend against using transesophageal echocardiography to detect cardiac sources of embolization after a patients health care provider has identified a source of embolization and if that person would not change a patients management as a result of getting more information. Such organizations further recommend that doctors and patients should avoid seeking transesophageal echocardiography only for the sake of protocol-driven testing and to agree to the test only if it is right for the individual patient. The advantage ...
Objectives. This study was conducted to determine the implications of negative findings on a transesophageal echocardiographic study in which neither a vegetation nor an abscess is identified in patients with clinically suspected infective endocarditis.. Background. Echocardiography is the procedure of choice for evaluating suspected infective endocarditis in patients. Transesophageal echocardiography has been shown to be superior to transthoracic imaging. Although the importance of positive results or a diagnostic study is known, the significance of negative findings on a transesophageal study is not clear.. Methods. All transesophageal echocardlographic studies performed over a 2-year period for suspected infective endocarditis were reviewed and the clinical course of patients with an initially negative study result was assessed to determine their final diagnosis. Results. Of the 105 patients identified. 65 bad a negative transesophageal study result. In the majority of this group (56 of 65), ...
Information on the purpose, description and patient instructions for a transesophageal echocardiogram test which provides a detailed valuable information about the size of the heart, how well it contracts, the structure of the heart valves, and the amount of blood flow.
Paraprosthetic AR following TAVI is of potential importance for two reasons. First, patients with longstanding isolated severe AS without AR before the procedure sometimes have poor hemodynamic tolerance of acute AR caused by the procedure, owing to what is typically a small, hypertrophied (noncompliant) left ventricle. Second, data suggest that patients with significant AR following TAVI have worse survival statistics compared to others who do not. The latter begs the question of whether it is the AR that increases mortality risk, or whether the presence of AR is a marker of other disease--most likely diffuse arterial calcification. This study confirms that dense and asymmetrical valve calcification, along with mismatch between the cross-sectional areas of the aortic valve annulus and of the device being deployed, portent a higher risk of postprocedural AR with this balloon-expandable device. It remains to be determined whether AR or the underlying calcification is of clinical ...
TY - JOUR. T1 - Diagnostic accuracy and role of intraoperative biplane transesophageal echocardiography in pediatric patients with left ventricle outflow tract lesions. AU - Singh, G. K.. AU - Shiota, T.. AU - Cobanoglu, A.. AU - Droukas, P.. AU - Rice, M. J.. AU - Sahn, D. J.. PY - 1998/1/1. Y1 - 1998/1/1. N2 - Objectives: To define the lesion-specific role of biplane transesophageal echocardiography in children with left ventricular outflow tract obstructive lesions, the diagnostic accuracy of transthoracic and transesophageal images were compared, and the impact of transesophageal echocardiography on perioperative management was evaluated. Background: The reported high postoperative recurrence of left ventricular outflow tract obstructive lesion can be due to its incomplete surgical relief. A full preoperative definition of the lesions would aid in better surgical outcome. The complexity and spectrum of such lesions provide opportunity to evaluate the role of a recently available biplane ...
Cardioversion procedures are usually scheduled in advance, although if your symptoms are severe, you may need to have cardioversion in an emergency setting.. You typically cant eat or drink anything for about 8 hours before your procedure. Your doctor will tell you whether you should take any of your regular medications before your procedure. If you do take medications before your procedure, sip only enough water to swallow your pills.. Before cardioversion, you may have a procedure called a transesophageal echocardiogram (TEE) to check for blood clots in your heart, which can be dislodged by cardioversion, causing life-threatening complications. Your cardiologist will decide if you need a transesophageal echocardiogram before cardioversion.. In a transesophageal echocardiogram, your throat is numbed and a flexible tube containing a transducer is guided down your throat and into your esophagus, which connects your mouth to your stomach. From there, the transducer can obtain more-detailed images ...
with the advent of real-time 3-dimensional transesophageal echocardiography (3d tee), rapid creation of high-quality, true-to-life images of mitral valve anatomy and pathology has become possible in the vast majority of patients (1). In addition to common mitral valve lesions, such as degenerative mitral valve disease, 3D TEE is invaluable for characterizing less frequently encountered disorders, including endocarditis and its complications (2). Precise localization of leaflet perforations can be challenging on 2-dimensional images, particularly for non-experts. While the affected scallop can often be identified with the help of color Doppler, it may be difficult to pinpoint the site of perforation with respect to the leaflet tip. The addition of 3D TEE often provides clarity in this regard, helping to determine the feasibility of surgical repair. In this iPIX, we demonstrate the role of real-time 3D TEE in characterizing mitral leaflet perforations at various sites. Asterisks denote the aorta ...
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Objectives. The aim of this study was to identify the mechanism and features of artifacts encountered during transesophageal echocardiography of the aorta.. Background. Artifacts are an important potential limitation of transesophageal echocardiography of the aorta.. Methods. The mechanism of the artifacts was examined by in vitro modeling. The frequency and clinical correlates of artifacts were examined by retrospective review of transesophageal echocardiograms in 36 patients with aortic pathologic lesions.. Results. Two classes of artifact were seen: linear artifacts in the ascending aorta, which may mimic intimal flaps, and mirror image artifacts in the transverse and descending thoracic aorta. Linear artifacts in the ascending aorta, seen in 44% of patients, were shown in vitro to be multiple path artifacts caused by reflection of ultrasound within the left atrium. Linear artifacts in the ascending aorta were associated with dilation of the ascending aorta and were more frequent when the ...
A bubble study is often utilized to confirm the presence of shunting across the interatrial septum (IAS) via patent foremen ovale (PFO) or atrial septal
Our skilled doctors and imaging technicians perform transesophageal echocardiography, ultrasounds of the heart, working together to interpret the results.
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TY - JOUR. T1 - Reconstruction of the descending thoracic aorta by multiview compounding of 3-d transesophageal echocardiographic aortic data sets for improved examination and quantification of atheroma burden. AU - Carminati, Maria Chiara. AU - Piazzese, Concetta. AU - Weinert, Lynn. AU - Tsang, Wendy. AU - Tamborini, Gloria. AU - Pepi, Mauro. AU - Lang, Roberto Miguel. AU - Caiani, Enrico Gianluca. PY - 2015/5/1. Y1 - 2015/5/1. N2 - A robust and efficient approach to reconstruction of the descending thoracic aorta from contiguous 3-D transesophageal echocardiographic (TEE) images is proposed. An ad hoc image acquisition protocol was designed to acquire ordered and partially overlapped 3-D TEE data sets, followed by dedicated image processing to align and fuse all acquired data sets. Alignment strategy implemented pairwise rigid registration guided by a priori knowledge, and it was validated using artificially misaligned images. Image fusion was finally performed to enable visualization and ...
TY - JOUR. T1 - Using transesophageal echocardiography to manage critically ill patients. What role in hemodynamic instability, MI, embolic disease, trauma?. AU - Holmberg, Mark Jeffrey. AU - Mohiuddin, Syed M.. PY - 1995/4. Y1 - 1995/4. N2 - When transthoracic echocardiographic images are suboptimal, transesophageal echocardiography offers a new window for visualization of the heart and thoracic aorta. It can be performed at bedside in 15 to 20 minutes. Complications (emesis, hypoxemia, hypotension) are rare and easily reversed or averted by administration of naloxone or flumazenil. Indications include evaluation of hemodynamic instability, ventricular function, mitral regurgitation, ventricular septal defects, aneurysm, endocarditis, intracardiac sources of embolus, valve pathology, aortic dissection, intra-aortic debris, and trauma. Results can be analyzed immediately and used to guide further evaluation, medical therapy, or surgery.. AB - When transthoracic echocardiographic images are ...
TY - JOUR. T1 - Transesophageal echocardiography in the diagnosis of diseases of the thoracic aorta. T2 - Part 1. Aortic dissection, aortic intramural hematoma, and penetrating atherosclerotic ulcer of the aorta. AU - Willens, Howard J.. AU - Kessler, Kenneth M.. PY - 1999/1/1. Y1 - 1999/1/1. KW - Acute aortic syndrome. KW - Aortic dissection. KW - Aortic intramural hematoma. KW - Penetrating aortic ulcer. KW - Thoracic aorta. KW - Transesophageal echocardiography. UR - http://www.scopus.com/inward/record.url?scp=0033388643&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0033388643&partnerID=8YFLogxK. U2 - 10.1378/chest.116.6.1772. DO - 10.1378/chest.116.6.1772. M3 - Article. C2 - 10593804. AN - SCOPUS:0033388643. VL - 116. SP - 1772. EP - 1779. JO - Chest. JF - Chest. SN - 0012-3692. IS - 6. ER - ...
TY - JOUR. T1 - Percutaneous Transcatheter Edge-to-Edge MitraClip Technique. T2 - A Practical "Step-by-Step" 3-Dimensional Transesophageal Echocardiography Guide. AU - Bushari, Limor Ilan. AU - Reeder, Guy S.. AU - Eleid, Mackram. AU - Chandrasekaran, Krishnaswamy. AU - Eriquez-Sarano, Maurice. AU - Rihal, Charanjit. AU - Maalouf, Joseph F.. PY - 2019/1/1. Y1 - 2019/1/1. N2 - Recent innovations and advancements in 3-dimensional (3D) echocardiography allow for better understanding of anatomic relationships and improve communication with the interventional cardiologist for guidance of catheter-based interventions. The mitral valve lends itself best for imaging with transesophageal echocardiography (TEE). Consequently, the role of 3D TEE in guiding catheter-based mitral interventions has been evolving rapidly. Although several publications have reported on the advantages and role of 3D TEE in guiding one or more of the steps involved in percutaneous mitral valve repair using the MitraClip, none ...
TY - JOUR. T1 - Accuracy of cardiac output estimation with biplane transesophageal echocardiography.. AU - Hozumi, T.. AU - Shakudo, M.. AU - Applegate, Richard Lee. AU - Shah, P. M.. PY - 1993/1. Y1 - 1993/1. N2 - To evaluate the accuracy of cardiac output measurements with biplane transesophageal Doppler echocardiography, we examined 26 sets of observations in 14 patients using thermodilution technique as the standard. A mitral inflow method by single-plane combined the time-velocity integral of mitral inflow at the mitral annulus with the area of mitral annulus, assuming it to be a circular shape, by use of either the four- or the two-chamber view. With both views, a mitral inflow method by biplane combined the average of time-velocity integral of mitral inflow from the four- and the two-chamber views with the area of mitral annulus, assuming it to be an ellipsoid shape. The correlation coefficients between thermodilution and single-plane method of cardiac output were 0.81 (SEE = 0.72 L/min) ...
We present two- and three-dimensional transesophageal echocardiographic findings of two adult patients who presented for reoperation after previous repair of a partial atrioventricular (AV) septal defect. Both patients had a cleft in the left AV valv
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A 74-year-old man with severe aortic valve stenosis associated with ascending aortic aneurysm, moderate mitral valve regurgitation (type I according to Carpentiers classification), and three-vessel disease underwent combined aortic valve and ascending aortic replacement, mitral valve pericardial band anuloplasty and triple coronary artery bypass grafting. Intraoperative transoesophageal echocardiography showed no residual mitral regurgitation. Postoperative recovery … ...
The incremental advantage of transesophageal echocardiography was determined by comparing results of paired transthoracic and transesophageal echocardiographic examinations performed in 61 patients for evaluation of suspected infective endocarditis. According to clinical and pathologic data, 31 of 6 …
International Scholarly Research Notices is a peer-reviewed, Open Access journal covering a wide range of subjects in science, technology, and medicine. The journals Editorial Board as well as its Table of Contents are divided into 108 subject areas that are covered within the journals scope.
Click the title to purchase the article.. Objectives:. "Axillary artery cannulation is commonly used in thoracic aortic surgery, often utilizing a sidearm graft. Although our institutional preference is femoral cannulation, we use axillary cannulation in select cases with a dirty aorta on computed tomography scan or intraoperative transoesophageal echocardiography. Since 2011, we have routinely used an open Seldinger-guided approach for axillary cannulation. Here, we report our experience with open Seldinger-guided technique, evaluating its safety and efficacy."1. ...
OBJECTIVES--To assess the value and limitations of using transoesophageal echocardiography as the sole diagnostic test in patients with suspected thoracic aortic dissection. DESIGN--Retrospective data review over a two year period. SETTING--A regional cardiothoracic centre. PATIENTS--Data were compiled from admission records, surgical records, and lists of patients undergoing diagnostic investigations in the hospital. Patients notes were used to identify presentation, management, and outcome. INTERVENTIONS--Patients were managed according to the policy of our unit, which is to treat patients with dissection affecting the ascending aorta by an operation. Patients with uncomplicated dissection sparing the ascending aorta are initially managed medically. MAIN OUTCOME MEASURES--In hospital and two year follow-up of patients who were investigated by transoesophageal echocardiography alone. RESULTS--Of 48 patients referred, 45 underwent transoesophageal echocardiography. Dissection was confirmed in ...
Before antibiotics were discovered, infective endocarditis was almost uniformly fatal. Although the prognosis is now markedly improved, it remains a disease with considerable mortality and morbidity. Patients with abscesses are much less likely to be cured with medical therapy alone. Thus, the early detection of abscesses might be useful in leading to surgery before complications, such as congestive heart failure, develop. Transthoracic echocardiography is the standard method for diagnosing vegetations, but it is not very effective in diagnosing abscesses. Recently, transesophageal echocardiography has been documented to improve the diagnosis of vegetations. On the basis of this study, transesopha- geal echocardiography is also useful for diagnosing abscesses. Although the results of this study are acceptable on the basis of the sensitivity and specificity, the predictive values reported must be adjusted for local circumstances. As noted by the authors, the population studied was skewed. First, ...
Solomon Aronson, Bryan K. Lee, Jeff G. Wiencek, Steven B. Feinstein, Michael F. Roizen, Robert B. Karp, John E. Ellis; Assessment of Myocardial Perfusion during CABG Surgery with Two-dimensional Transesophageal Contrast Echocardiography. Anesthesiology 1991;75(3):433-440. Download citation file:. ...
Prakash Shankar, B (2007) A Study of Atrial Fibrillation: Clinical Transthoracic Echocardiography, Transesophageal Echocardiography Correlation. Masters thesis, Madurai Medical College, Madurai. ...
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Aortic atheroma has been correlated with traditional cardiac risk factors, coronary, carotid, renal and peripheral atherosclerosis, and is probably a manifestation of generalized atherosclerosis. Aortic atheroma has also been shown to be associated with atrial fibrillation, aortic valve sclerosis, and other calcification of the fibrous skeleton of the heart. None of the previous studies have looked at the noninvasive prediction of aortic atheroma using the history and physical signs of cardiovascular disease. This would be a time and cost-effective bedside diagnostic tool that would be useful prior to cardiac surgery, cardiac catheterization, and workup of ischemic stroke patients, especially when transesophageal echocardiogram (TEE) is being considered for diagnosis but cannot be obtained due to previously mentioned reasons. Although physical examination of peripheral vascular disease is non-specific, a combination of physical examination signs increases the probability of generalized ...
Figure 4 Post-Operative Evaluation. Post-operative TEE of the case presented in Figure 1. Artifacts produced by prosthetic valves make the post-operative evaluation difficult with 2-dimensional TEE, as these 135° ME views show (A and B). Real-time 3-dimensional transesophageal echocardiography (RT-3D-TEE) is useful to evaluate prosthetic function and to rule out perivalvular leaks in this scenario. A zoomed RT-3D-TEE en face view of the MV from a 0° ME position (C, Online Video 4) or surgical view of the mitral prosthesis (see Fig. 2D) shows the pericardium patch sutured to the atrial walls, leading to a thickened and irregular appearance of the left atrium dome (yellow arrows). The mitral prosthesis is secured posteriorly by independent Teflon felt-supported sutures (white arrows) and anteriorly to the pericardium patch that restores the mitral-aortic intervalvular fibrosa by a continuous suture (red arrows). Evaluation of the aortic prosthesis is often more challenging due to artifacts. A ...
Kumbharathi Rb Taneja R Mehra R Et Al Evaluation Of Tricuspid And Pulmonary Valves Using Epicardial And Transesophageal Echocardiography A Comparative Study J Cardiothorac Vasc Anesth 20122632 8 Maini B Real Time Three Dimensional Intracardiac Echocardiography An Early Single Center Experience
Echocardiography is an imaging test. It uses sound waves to make detailed moving pictures of the heart. It shows the size and shape of the heart, as well as the heart chambers and valves. Transesophageal echocardiography (TEE) uses a device, called a transducer, that is placed in the esophagus.
Echocardiography is an imaging test. It uses sound waves to make detailed moving pictures of the heart. It shows the size and shape of the heart, as well as the heart chambers and valves. Transesophageal echocardiography (TEE) uses a device, called a transducer, that is placed in the esophagus.
Echocardiography is an imaging test. It uses sound waves to make detailed moving pictures of the heart. It shows the size and shape of the heart, as well as the heart chambers and valves. Transesophageal echocardiography (TEE) uses a device, called a transducer, that is placed in the esophagus.
... , 3rd edition, is a concise guide to the use of transoesophageal echocardiography (TOE) for patients undergoing cardiac surgical and interventional cardiological procedures. The text is aimed at anaesthetists and cardiologists, particularly those in training and those preparing for examinations. Three-dimensional imaging is integrated throughout the text. New to the third edition are chapters on mitral valve repair, aortic valve repair, TOE in the interventional catheter laboratory, and TOE assessment of pericardial disease. The first three chapters address the fundamentals of ultrasound imaging: physical principles, artefacts, image optimization, and quantitative echocardiography. Chapters 4 and 5 cover standard views, anatomical variants, and cardiac masses. Chapters 6 and 7 address left ventricular systolic and diastolic function, respectively. The subsequent eight chapters form the core of the book and deal with the cardiac valves and ...
Stroke after cardiac surgery may be caused by emboli emerging from an atherosclerotic ascending aorta (AA). Epiaortic ultrasound scanning (EUS), the current gold standard for detecting AA atherosclerosis, has not gained widespread use because there is a lack of optimized ultrasound devices, it lengthens the procedure, it endangers sterility, and there is a false belief by many surgeons that palpation is as sensitive as EUS. Furthermore there is no clear evidence proving that the use of epiaortic scanning changes outcome in cardiac surgery. Various researchers investigated the ability of transesophageal echocardiography (TEE) to discriminate between the presence and absence of AA atherosclerosis. It is acknowledged that TEE has limited value in this, but it has never been supported by a meta-analysis estimating the true diagnostic accuracy of TEE based on all quantitative evidence. We aimed to do this using state-of-the-art methodology of diagnostic meta-analyses.. We searched multiple ...
Transesophageal echocardiography (TEE) is one of the main diagnostic tools of contemporary cardiology. It can provide high quality imaging of the heart due to the position of the probe in the esophagus, located close to the heart. However, obtaining clear diagnostic images is very demanding. It requires not only a detailed anatomical and clinical k
Transesophageal echocardiography (TEE) is a key diagnostic modality in patients with acute aortic dissection, yet its sensitivity is limited by a
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The ELAT study assessed interobserver variabilities for atrial thrombi, spontaneous echocardiographic contrast, and left atrial appendage size; the SPAF-III study did not [4, 5]. Although criteria for thrombi differed between these studies, both studies showed that patients with atrial thrombi who received anticoagulation have a high stroke rate. Thus, with no treatment better than anticoagulation, identification of thrombi by TEE has no relevance ...
Definition of echocardiography, transesophageal in the Definitions.net dictionary. Meaning of echocardiography, transesophageal. What does echocardiography, transesophageal mean? Information and translations of echocardiography, transesophageal in the most comprehensive dictionary definitions resource on the web.
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Nellessen U.; Daniel W.G.; Lichtlen P.R., 1986: The diagnostic value of transesophageal echocardiography in the detection of cardiac and extracardiac masses
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