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

Video：

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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.	唐雪蓮, 王虎林, 張志芳, 等. 經食道超聲心動圖在心臟外科手術中的應用價值研究. 新疆醫學, 2014, 44: 45-46.
2.	丁梅, 杜洪印, 喻文立, 等. 經食道超聲心動圖在圍術期應用進展. 黑龍江醫學, 2014, 4(38): 373-375.
3.	李娜. 經食道超聲心動圖在二尖瓣成形術中的監測價值. 中國實用醫藥, 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, 蔡運昌. 術中超聲心動圖在心臟外科的應用價值. 心血管病學進展, 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. 經心外膜與經胸超聲測量心臟瓣環大小對比研究. 貴陽醫學院學報, 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, 蔡運昌, 等. 心外膜彩色多普勒超聲在三尖瓣成形術中的應用. 中國超聲診斷雜志, 2004, 5(11): 821-823.
11.	張浩, 于溯洋, 牛小光, 等. 經水囊心外膜超聲心動圖在先天性心臟病瓣膜損害手術中的應用. 河北醫科大學學報, 2009, 30(10): 1054-1056.
12.	徐宏耀, 姬建勝, 王平凡, 等. 704例法洛四聯癥矯治術的臨床分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 408-410.
13.	張宇虹, Kai A, Runar L, 等. 升主動脈心外膜超聲成像在冠狀動脈旁路移植術中的價值. 中國醫學影像技術, 2005, 21(6): 900-902.
14.	郭薇, 郭珊, 王春. 經食道超聲心動圖在39例心臟外科手術中的應用價值. 福建醫藥雜志, 2007, 29(1): 7-8.
15.	何啟才, 何正富, 趙博文. 經心外膜超聲心動圖在先天性心臟病手術中的應用. 中華胸心血管外科雜志, 2001, 17(6): 345.
16.	陳斌, 郭薇, 陳同, 等. 術中心外膜超聲心動圖在心瓣膜手術中的應用. 中國胸心血管外科臨床雜志, 2001, 8(3): 156.
17.	史學功, 田瑞霞. 心外膜超聲的臨床應用. 實用醫學雜志, 2012, 28(6): 1013-1014.
18.	田瑞霞, 史學功, 陳訓, 等. 心外膜超聲心動圖在心臟瓣膜手術中的應用價值. 中華超聲影像學雜志, 2012, 21(7): 581-582.
19.	張宇虹, Kai A, Runar L, 等.心外膜超聲在非體外循環冠狀動脈旁路移植術中對吻合口的評價. 中國醫學影像技術, 2004, 20(4): 535-537.
20.	王劍鵬, 李慧, 段福建, 等. 經食管探頭行心外膜超聲在心臟外科手術中的應用研究. 中華醫學超聲雜志（電子版）, 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. 唐雪蓮, 王虎林, 張志芳, 等. 經食道超聲心動圖在心臟外科手術中的應用價值研究. 新疆醫學, 2014, 44: 45-46.
2. 丁梅, 杜洪印, 喻文立, 等. 經食道超聲心動圖在圍術期應用進展. 黑龍江醫學, 2014, 4(38): 373-375.
3. 李娜. 經食道超聲心動圖在二尖瓣成形術中的監測價值. 中國實用醫藥, 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, 蔡運昌. 術中超聲心動圖在心臟外科的應用價值. 心血管病學進展, 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. 經心外膜與經胸超聲測量心臟瓣環大小對比研究. 貴陽醫學院學報, 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, 蔡運昌, 等. 心外膜彩色多普勒超聲在三尖瓣成形術中的應用. 中國超聲診斷雜志, 2004, 5(11): 821-823.
11. 張浩, 于溯洋, 牛小光, 等. 經水囊心外膜超聲心動圖在先天性心臟病瓣膜損害手術中的應用. 河北醫科大學學報, 2009, 30(10): 1054-1056.
12. 徐宏耀, 姬建勝, 王平凡, 等. 704例法洛四聯癥矯治術的臨床分析. 中國胸心血管外科臨床雜志, 2016, 23(4): 408-410.
13. 張宇虹, Kai A, Runar L, 等. 升主動脈心外膜超聲成像在冠狀動脈旁路移植術中的價值. 中國醫學影像技術, 2005, 21(6): 900-902.
14. 郭薇, 郭珊, 王春. 經食道超聲心動圖在39例心臟外科手術中的應用價值. 福建醫藥雜志, 2007, 29(1): 7-8.
15. 何啟才, 何正富, 趙博文. 經心外膜超聲心動圖在先天性心臟病手術中的應用. 中華胸心血管外科雜志, 2001, 17(6): 345.
16. 陳斌, 郭薇, 陳同, 等. 術中心外膜超聲心動圖在心瓣膜手術中的應用. 中國胸心血管外科臨床雜志, 2001, 8(3): 156.
17. 史學功, 田瑞霞. 心外膜超聲的臨床應用. 實用醫學雜志, 2012, 28(6): 1013-1014.
18. 田瑞霞, 史學功, 陳訓, 等. 心外膜超聲心動圖在心臟瓣膜手術中的應用價值. 中華超聲影像學雜志, 2012, 21(7): 581-582.
19. 張宇虹, Kai A, Runar L, 等.心外膜超聲在非體外循環冠狀動脈旁路移植術中對吻合口的評價. 中國醫學影像技術, 2004, 20(4): 535-537.
20. 王劍鵬, 李慧, 段福建, 等. 經食管探頭行心外膜超聲在心臟外科手術中的應用研究. 中華醫學超聲雜志（電子版）, 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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Application Value of Intraoperative Epicardial Echocardiography in Cardiac Surgery

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