کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2761414 1150194 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Intraoperative Assessment of Mitral Valve Area After Mitral Valve Repair: Comparison of Different Methods
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیهوشی و پزشکی درد
پیش نمایش صفحه اول مقاله
Intraoperative Assessment of Mitral Valve Area After Mitral Valve Repair: Comparison of Different Methods
چکیده انگلیسی

ObjectiveIn the present study, 3 different methods to measure the mitral valve area (MVA) after mitral valve repair (MVRep) were studied. Data obtained immediately after repair were compared with postoperative data. The objective was to determine the feasibility and correlation between intraoperative and postoperative MVA data.DesignA prospective study.SettingA tertiary care medical center.ParticipantsTwenty-five elective adult surgical patients scheduled for MVRep.MethodsEchocardiographic data included MVAs obtained using the pressure half-time (PHT), 2-dimensional planimetry (2D-PLAN), and the continuity equation (CE). These data were obtained immediately after cardiopulmonary bypass and were compared with data obtained before hospital discharge (transthoracic echocardiogram 1) and 6 to 12 months after surgery (transthoracic echocardiogram 2). Intraoperative care was guided by hemodynamic goals designed to optimize cardiac function.ResultsThe data show good agreement and correlation between MVA obtained with PHT and 2D-PLAN within and between each time period. MVA data obtained with the CE in the postoperative period were lower than and did not correlate or agree as well with other MVA data.ConclusionThe MVA recorded immediately after valve repair, using PHT, correlated and agreed with MVA data obtained in the postoperative period. These results contrast with previously published data and could highlight the impact of hemodynamic function during the assessment of MVA.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Cardiothoracic and Vascular Anesthesia - Volume 25, Issue 2, April 2011, Pages 221–228
نویسندگان
, , , , ,