TRANSESOPHAGEAL ECHOCARDIOGRAPHIC MONITORING DURING CORONARY ARTERY BYPASS SURGERY

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概要

• 論文の詳細を見る

• To demonstrate serial changes of left ventricular (LV) function during coronary artery bypass grafting surgery, transesophageal echocardiography (TEE) was used in 17 patients. The cross-sectional image of the left ventricle at the level of the papillary muscles was monitored, and was analyzed immediately in the operating room using a computer-assisted cine-memory function. Global LV funtion was evaluated by measuring LV end-diastolic and end-systolic area and computing the fractional area change (FAC). Segmental wall motion abnormalities (SWMA) were graded according to a scoring system. During the operative procedure before sternal closure. 5 patients showed SWMA with a simultaneous decrease in FAC to under 40%, and 9 patients showed SWMA without FAC depression. Two-thirds of new SWMA improved after myocardial revascularization. All 17 patients showed a change of interventricular septal movement at the end of the operation. FAC improved from a mean value (±SD) after intubation of 47.6±10.7% to a mean value after revascularization of 58.5±13.0% (p<0.05) and to a mean value at the end of the operation of 55.9±12.2% (p<0.05). Thus: 1) global and regional LV function improved immediately after myocardial revascularization with administration of inotropic agents; 2) a significant change of interventricular septal movement occurred after sternal closure; and 3) intraoperative TEE monitoring is a safe, simple. and effective method for evaluating LV global and regional function.

• 社団法人日本循環器学会の論文
• 1991-02-20

著者

• Rosenthal Arvo

  Estonian Heart Center In Tallinn Tartu University

• Kawasuji Michio

  Department Of Surgery (i) Kanazawa University School Of Medicine

• Kawasuji Michio

  Department Of Surgery Kanazawa University School Of Medicine

• SAWA SHIGEHARU

  Department of Surgery (I), Kanazawa University School of Medicine

• IWA TAKASHI

  Department of Surgery (I), Kanazawa University School of Medicine

• TAKEMURA Hirofumi

  Department of Surgery (I), Kanazawa University School of Medicine

• Kawasuji Michio

  Department Of Cardiovascular Surgery Graduate School Of Medical Sciences Kumamoto University

• Kawasuji Michio

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Iwa Takashi

  Department Of Thoracic And Cardiovascular Surgery Ishikawa Prefectural Central Hospital

• Iwa Takashi

  Department Of Cardio-thoracic Surgery Sapporo Medical College Sapporo

• Sawa Shigeharu

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Kawasuji Michio

  The 1st Department Of Surgery Kanazawa University School Of Medicine.

• Iwa Takshi

  Department Of Surgery Kanazawa University School Of Medicine

• Iwa Takashi

  Dept. Of Surgery(i) Kanazawa Univ. School Of Med.

• Iwa Takashi

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Takemura Hirofumi

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Takemura Hirofumi

  Department Of General And Cardiothoracic Surgery Graduate School Of Medicine Gifu University

• Ikeda Takayuki

  Department Of Surgery (1) Kanazawa University School Of Medicine

• Iwa Takashi

  Department Of Surgery Kanazawa University School Of Medicine Kanazawa Japan. Department Of Surgery R

• Kawasuji Michio

  Department Of Cardiovascular Surgery Graduate School Of Medical Science Kumamoto University

• Takemura Hirofumi

  Department of Biomolecular Engineering, Tokyo Institute of Technology

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