Value of TEE in detection of ventricular venting after cardiac surgery with CPB

NING Lijuan; TIAN Ye; LIU Xiaomei

PDF(973 KB)

Medical Journal of the Chinese People Armed Police Forces ›› 2022, Vol. 33 ›› Issue (8) : 650-653.

Value of TEE in detection of ventricular venting after cardiac surgery with CPB

NING Lijuan, TIAN Ye, LIU Xiaomei

Author information +

History +

Abstract

Objective To investigate the value of transesophageal echocardiography(TEE)in the detection of ventricular venting after cardiac surgery with cardiopulmonary bypass (CPB).Methods Seventy patients who underwent cardiac surgery with CPB in our hospital from January 2020 to December 2021were randomly divided into the observation group (n=35) monitored by TEE and the control group (n=35) monitored by traditional method. The monitoring Results of the two groups were compared and analyzed.Results The rebeat time of the observation group [(25.12±2.13 ) min]was shorter than that of the control group [(29.45±2.84)min] , and there was statistical difference (t=7.2159.P<0.05). There were different degrees of left cardiac gas in the observation group after CPB, and there were no complications after TEE instruction. Comparison of MAP indexes in T₁-T₃ time and the lactic acid values between the two groups at T₀-T₄ time both showed statistical difference (P<0.05). After surgery, LVESD and LVEDD values in observation group were significantly lower than those in the control group, while LVEF values were completely opposite, with statistical significance (P<0.05).Conclusion The clinical value of TEE monitoring in CPB surgery is obvious, which can guide cardiac exhaust, maintain intraoperative circulation stability, and improve cardiac function.

Key words

cardiopulmonary bypass / heart surgery / transesophageal echocardiography / left ventricular venting

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

NING Lijuan, TIAN Ye, LIU Xiaomei. Value of TEE in detection of ventricular venting after cardiac surgery with CPB[J]. Medical Journal of the Chinese People Armed Police Forces. 2022, 33(8): 650-653

References

[1] 曾冰,白松杰,黄志勇. 经食管超声心动图监测在心脏瓣膜手术患者麻醉循环管理中的应用价值[J]. 系统医学,2020,5(16):106-108.
[2] 杨梦,解雅英. 经食管超声心动图监测在围术期的应用[J]. 医疗卫生装备,2017,38(2):131-134.
[3] 李强,卢彬,缪冬梅,等. 经食管超声心动图监测在心脏瓣膜手术麻醉中的临床应用[J]. 现代医药卫生,2017,33(2):194-197.
[4] 车龙通,李振兴,周少宇,等. 经食管超声心动图在体外循环心脏手术麻醉中的应用研究[J]. 中国临床新医学,2022,15(1):55-58.
[5] Fotland T Q, Paulsen J E, Sanner T, et al. Risk assessment of coumarin using the bench mark dose (BMD) approach: children in norway which regularly eat oatmeal porridge with cinnamon may exceed for coumarin with several folds[J].Food Chem Toxicol,2018,50(3-4):903-912.
[6] Roest P A, Bout M, Tuin A C, et al. Splicing mutations in DMD/BMD detected by RT-PCR/PTT: detection of a 19AA insertion in the cysteine rich domain of dystrophin compatible with BMD[J].J Med Genet, 2020,33(11):935-939.
[7] 王治,郭浩,郭荟楠. 食管超声心动图在三尖瓣成形术中的应用[J]. 中国药物与临床,2019,19(4):618-619.
[8] 王莹,李亚南,崔存英,等.血流向量成像技术评价二尖瓣成形患者左心室舒张功能的研究[J].中华超声影像学杂志,2019,28(2):94-99.
[9] 邱志兵,陈鑫,徐明,等.二尖瓣修复术与置换术在重度缺血性二尖瓣反流中的疗效比较[J].中华医学杂志,2017,97(22):1705-1709.
[10] 马红,吴红平,陆小虎,等.经胸超声心动图评估二尖瓣-主动脉瓣间纤维假性动脉瘤[J].南京医科大学学报(自然科学版),2019,39(6):907-910.
[11] Rizzo G,Raffeiner B,Coran A,et al.Pixel-based approach to assess contrast-enhanced ultrasound kinetics parameters for differential diagnosis of rheumatoid arthritis[J].J Med Imaging (Bellingham),2021,2(3):34503.
[12] 张玲芳,郑哲岚,牟芸,等. 实时三维经食管超声心动图对二尖瓣成形术的指导意义[J]. 中华医学超声杂志(电子版),2018,15(3):198-203.
[13] Sim M F,Stone M,Johansen A,et al.Cost effectiveness analysis of BMD referral for DXA using ultrasound as a selective pre-screen in a group of women with low trauma Colles' fractures[J].Technol Health Care,2019, 8(5):277-284.
[14] 潘翠珍,舒先红,葛振一,等.经食管超声心动图在经心尖二尖瓣夹合术中的应用1例[J].中华超声影像学杂志,2019,28(1):83-85.
[15] 张晓宁,田路,李晨,等.超声诊断左心房转移瘤致二尖瓣口梗阻1例[J].武警医学,2021,32(11):993-994.
[16] 赵娜,齐清华,杨娟,等. 术中经食管超声心动图评估二尖瓣成形术后收缩期前向运动现象[J]. 中华超声影像学杂志,2021,30(2):105-111.
[17] 王硕,牛铁生,李晓东.缺血性心肌病与扩张型心肌病的超声心动图特征比较与鉴别诊断[J].武警医学,2017,28(5):450-454.
[18] 胡世军,吴勤,金万存,等. 超声心动图在经胸壁穿刺治疗先天性心脏病术后残余室间隔缺损中的应用价值[J]. 中南大学学报(医学版),2021,46(12):1380-1385.
[19] 步建丽,解晓薇,郄占军,等. 食管超声心动图在经胸小切口室间隔缺损封堵术中的应用[J].宁夏医科大学学报,2017,39(2):211-212.