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Transesophageal echocardiography in NeoChord procedure


1 Department of Medicine, Anesthesia and Intensive Care Unit, University of Padova, Padova, Italy
2 Department of Cardiology, Thoracic and Vascular Sciences, University of Padova, Padova, Italy

Correspondence Address:
Dr. Pittarello Demetrio
Department of Medicine, Anesthesia and Intensive Care Unit, University of Padova, Via Cesare Battisti 267, 35100 Padova
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.154473

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Year : 2015  |  Volume : 18  |  Issue : 2  |  Page : 191-197

 

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Background: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result. Result and Conclusion: This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.






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1 Department of Medicine, Anesthesia and Intensive Care Unit, University of Padova, Padova, Italy
2 Department of Cardiology, Thoracic and Vascular Sciences, University of Padova, Padova, Italy

Correspondence Address:
Dr. Pittarello Demetrio
Department of Medicine, Anesthesia and Intensive Care Unit, University of Padova, Via Cesare Battisti 267, 35100 Padova
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.154473

Rights and Permissions

Background: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result. Result and Conclusion: This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.






[FULL TEXT] [PDF]*


        
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