Clin Ultrasound.  2019 Nov;4(2):67-77. 10.18525/cu.2019.4.2.67.

Intraoperative Transesophageal Echocardiography in Tricuspid Valve Surgery

• Yang HS
• Kim TY

• KMID: 2555111
• DOI: http://doi.org/10.18525/cu.2019.4.2.67

Abstract

Imaging the tricuspid valve (TV) using transesophageal echocardiography (TEE) seems more difficult than imaging other cardiac valves due to not only the complex valvular structure but also the anterior, far-field distance from the probe. The focus of the TEE during the surgery would not be much different from that of preoperative TEE. However, the anesthesia-induced changes of ventricular contractility, filling status, and vascular resistance should be considered when interpreting the images. Here, we thoroughly reviewed the major issues in the preand post-cardiopulmonary bypass intraoperative TEE in the TV surgery. Ultimately, a real-time intraoperative TEE monitoring should involve a simple or less time-consuming analysis which gives quick on-site information regarding the cardiac or hemodynamic status, communicating with the surgeon to lead to an optimal process.

Keyword

Intraoperative; Echocardiography, Transesophageal; Tricuspid valve