Impact of Transoesophageal Echocardiography
on Adult Cardiac Surgery
Sutton DC, Klugcr R
Intraoperative Transoesophageal Echocardiography : Impact on Adult Cardiac Surgery
Anaesth Intensive Care 26: 287-293, 1998
Intraoperative transoesophageal echocardiography [TEE] is a powerful monitoring and diagnostic tool for left ventricular volume and function. Although the importance of TEE is widely recognized for mistral valve repair and complex congenital heart surgery, its usefulness during routine adult cardiac surgery remains controversial. The impact of intraoperative TEE on routine cardiac surgical management of adult patients was examined.
The influence and impact of intraoperative TEE on results in the management of 238 consecutive patients aged between 23 and 84 years, operated over a two year period were examined.
Routine TEE examinations were performed in 184 and at the specific request of the cardiologists in 54 patients. Of the routine TEE examinations 21% had significant findings and of the request TEE examinations 98% had significant findings; all these patients had different or additional operative procedures performed than were previously contemplated.