Application Value of Intraoperative Epicardial Echocardiography in Cardiac Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

TIANRui-xia ¹ , SHIXue-gong ² , XIAOJie ² , HANJi-biao ³ , ZHANGJun-feng ³ , WEIZhuo-Jun ¹ ,  CHENXun ¹

1. Department of Medical Ultrasound, the Affiliated 105 Hospital of People’s Liberation Army, Anhui Medical University, Hefei 230031, P.R.China;
2. Department of Cardiology, the First Affiliated Hospital, Anhui Medical University, Hefei 230031, P.R.China;
3. Department of Cardiac Surgery, the Affiliated 105 Hospital of People’s Liberation Army, Anhui Medical University, Hefei 230031, P.R.China;

Corresponding author：

CHENXun, Email: Xunchen2008@aliyun.com

Keywords：

Congenital heart disease; Cardiac valve disease; Intraoperative epicardial echocardiography; Cardiac surgery

DOI：

10.7507/1007-4848.20160139

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Objective To investigate the effect of applying intraoperative epicardial echocardiography (IEE) on preoperative monitoring and evaluating the clinical result of cardiac surgery. Methods We retrospectively analyzed the clinical data of 248 patients treated in the Affiliated 105 Hospital of People’s Liberation Army and the First Affiliated Hospital of Anhui Medical University from June 2008 to May 2015. There were 108 males and 140 females. The age ranged from 7 months to 71 years. There were 113 patients diagnosed with the congenital heart disease (CHD) at the mean age of 11.89±14.74 years. There were 135 patients diagnosed with valvular heart disease at the mean age of 47.20±14.57 years. All patients underwent IEE during operation. Results In 113 patients with CHD, we found new deformities and corrected preoperative diagnosis before cardiopulmonary bypass (CPB) and we identified surgical complications after CPB by IEE. Other deformities and left atrial thrombus were found in 135 patients with valvular heart disease by IEE before CPB. After CPB, paravalvular leak and mitral regurgitation were found, therefore we took action immediately. Conclusions IEE can improve the preoperative diagnosis and reduce perioperative complications, which has value of application during cardiac surgery.

Citation： TIANRui-xia, SHIXue-gong, XIAOJie, HANJi-biao, ZHANGJun-feng, WEIZhuo-Jun, CHENXun. Application Value of Intraoperative Epicardial Echocardiography in Cardiac Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(6): 581-585. doi: 10.7507/1007-4848.20160139 Copy

1.	唐雪莲, 王虎林, 张志芳, 等. 经食道超声心动图在心脏外科手术中的应用价值研究. 新疆医学, 2014, 44: 45-46.
2.	丁梅, 杜洪印, 喻文立, 等. 经食道超声心动图在围术期应用进展. 黑龙江医学, 2014, 4(38): 373-375.
3.	李娜. 经食道超声心动图在二尖瓣成形术中的监测价值. 中国实用医药, 2012, 7(24): 133-134.
4.	Anagnostopoulos PC, Pislaru C, Seward JB, et al. Epicardial ultrasound guidance of coronary catheter placement in an experimental ammal model. J Am Soc Echocardiogr, 2002, 15(11): 1387-1390.
5.	俞杉, 蔡运昌. 术中超声心动图在心脏外科的应用价值. 心血管病学进展, 2004, 25(4): 417-412.
6.	Hartyanszky I, Kadar K. Intraoperntive epicardial echography in infancy and childhood for the evaluation of the results of surgical correction of congenital heart defects. Orv Hetil, 1997, 138(9): 537-540.
7.	Taneja R, Quaghebeur B, Stitt LW, et al. The role of epicardial echocardiography in the measurement of transvalvular flow velocities during aortic valve replacement. J Cardiothorac Vasc Anesth, 2009, 23(3): 292-297.
8.	俞杉, 田翔, 梁勤, 等. 经心外膜与经胸超声测量心脏瓣环大小对比研究. 贵阳医学院学报, 2004, 29(4): 335-336.
9.	Gianfagna P, Ciani R, Morocutti G, et al. Transesophageal and epicardial echocardiography in the evaluation of conservative surgery of the mitral valve. Complementary methods? Minerva Cardioangiol, 1995, 43(3): 69-79.
10.	俞杉, 田翔, 蔡运昌, 等. 心外膜彩色多普勒超声在三尖瓣成形术中的应用. 中国超声诊断杂志, 2004, 5(11): 821-823.
11.	张浩, 于溯洋, 牛小光, 等. 经水囊心外膜超声心动图在先天性心脏病瓣膜损害手术中的应用. 河北医科大学学报, 2009, 30(10): 1054-1056.
12.	徐宏耀, 姬建胜, 王平凡, 等. 704例法洛四联症矫治术的临床分析. 中国胸心血管外科临床杂志, 2016, 23(4): 408-410.
13.	张宇虹, Kai A, Runar L, 等. 升主动脉心外膜超声成像在冠状动脉旁路移植术中的价值. 中国医学影像技术, 2005, 21(6): 900-902.
14.	郭薇, 郭珊, 王春. 经食道超声心动图在39例心脏外科手术中的应用价值. 福建医药杂志, 2007, 29(1): 7-8.
15.	何启才, 何正富, 赵博文. 经心外膜超声心动图在先天性心脏病手术中的应用. 中华胸心血管外科杂志, 2001, 17(6): 345.
16.	陈斌, 郭薇, 陈同, 等. 术中心外膜超声心动图在心瓣膜手术中的应用. 中国胸心血管外科临床杂志, 2001, 8(3): 156.
17.	史学功, 田瑞霞. 心外膜超声的临床应用. 实用医学杂志, 2012, 28(6): 1013-1014.
18.	田瑞霞, 史学功, 陈训, 等. 心外膜超声心动图在心脏瓣膜手术中的应用价值. 中华超声影像学杂志, 2012, 21(7): 581-582.
19.	张宇虹, Kai A, Runar L, 等.心外膜超声在非体外循环冠状动脉旁路移植术中对吻合口的评价. 中国医学影像技术, 2004, 20(4): 535-537.
20.	王剑鹏, 李慧, 段福建, 等. 经食管探头行心外膜超声在心脏外科手术中的应用研究. 中华医学超声杂志（电子版）, 2014, 11(6): 477-481.
21.	Salandin V, De Castro S, Cavarretta E, et al. Epicardial realtime 3-dimensional echocardiography with the use of a pediatric transthoracic probe:a technical approach. J Cardiothorac Vasc Anesth, 2010, 24(1): 43-50.

1. 唐雪莲, 王虎林, 张志芳, 等. 经食道超声心动图在心脏外科手术中的应用价值研究. 新疆医学, 2014, 44: 45-46.
2. 丁梅, 杜洪印, 喻文立, 等. 经食道超声心动图在围术期应用进展. 黑龙江医学, 2014, 4(38): 373-375.
3. 李娜. 经食道超声心动图在二尖瓣成形术中的监测价值. 中国实用医药, 2012, 7(24): 133-134.
4. Anagnostopoulos PC, Pislaru C, Seward JB, et al. Epicardial ultrasound guidance of coronary catheter placement in an experimental ammal model. J Am Soc Echocardiogr, 2002, 15(11): 1387-1390.
5. 俞杉, 蔡运昌. 术中超声心动图在心脏外科的应用价值. 心血管病学进展, 2004, 25(4): 417-412.
6. Hartyanszky I, Kadar K. Intraoperntive epicardial echography in infancy and childhood for the evaluation of the results of surgical correction of congenital heart defects. Orv Hetil, 1997, 138(9): 537-540.
7. Taneja R, Quaghebeur B, Stitt LW, et al. The role of epicardial echocardiography in the measurement of transvalvular flow velocities during aortic valve replacement. J Cardiothorac Vasc Anesth, 2009, 23(3): 292-297.
8. 俞杉, 田翔, 梁勤, 等. 经心外膜与经胸超声测量心脏瓣环大小对比研究. 贵阳医学院学报, 2004, 29(4): 335-336.
9. Gianfagna P, Ciani R, Morocutti G, et al. Transesophageal and epicardial echocardiography in the evaluation of conservative surgery of the mitral valve. Complementary methods? Minerva Cardioangiol, 1995, 43(3): 69-79.
10. 俞杉, 田翔, 蔡运昌, 等. 心外膜彩色多普勒超声在三尖瓣成形术中的应用. 中国超声诊断杂志, 2004, 5(11): 821-823.
11. 张浩, 于溯洋, 牛小光, 等. 经水囊心外膜超声心动图在先天性心脏病瓣膜损害手术中的应用. 河北医科大学学报, 2009, 30(10): 1054-1056.
12. 徐宏耀, 姬建胜, 王平凡, 等. 704例法洛四联症矫治术的临床分析. 中国胸心血管外科临床杂志, 2016, 23(4): 408-410.
13. 张宇虹, Kai A, Runar L, 等. 升主动脉心外膜超声成像在冠状动脉旁路移植术中的价值. 中国医学影像技术, 2005, 21(6): 900-902.
14. 郭薇, 郭珊, 王春. 经食道超声心动图在39例心脏外科手术中的应用价值. 福建医药杂志, 2007, 29(1): 7-8.
15. 何启才, 何正富, 赵博文. 经心外膜超声心动图在先天性心脏病手术中的应用. 中华胸心血管外科杂志, 2001, 17(6): 345.
16. 陈斌, 郭薇, 陈同, 等. 术中心外膜超声心动图在心瓣膜手术中的应用. 中国胸心血管外科临床杂志, 2001, 8(3): 156.
17. 史学功, 田瑞霞. 心外膜超声的临床应用. 实用医学杂志, 2012, 28(6): 1013-1014.
18. 田瑞霞, 史学功, 陈训, 等. 心外膜超声心动图在心脏瓣膜手术中的应用价值. 中华超声影像学杂志, 2012, 21(7): 581-582.
19. 张宇虹, Kai A, Runar L, 等.心外膜超声在非体外循环冠状动脉旁路移植术中对吻合口的评价. 中国医学影像技术, 2004, 20(4): 535-537.
20. 王剑鹏, 李慧, 段福建, 等. 经食管探头行心外膜超声在心脏外科手术中的应用研究. 中华医学超声杂志（电子版）, 2014, 11(6): 477-481.
21. Salandin V, De Castro S, Cavarretta E, et al. Epicardial realtime 3-dimensional echocardiography with the use of a pediatric transthoracic probe:a technical approach. J Cardiothorac Vasc Anesth, 2010, 24(1): 43-50.

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