The importance of intraoperative transesophageal echocardiography in mechanical circulatory support systems implantations

Türkan Kudsioğlu; Gökçen Orhan; Nihan Yapıcı; Murat Sargın; Nazan Atalan; Müge Taşdemir Mete; Serap Aykut Aka; Zuhal Aykaç

doi:10.5606/tgkdc.dergisi.2014.10264

Türkan Kudsioğlu¹, Gökçen Orhan², Nihan Yapıcı¹, Murat Sargın², Nazan Atalan¹, Müge Taşdemir Mete², Serap Aykut Aka², Zuhal Aykaç¹

¹Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, İstanbul, Türkiye
²Siyami Ersek Göğüs Kalp ve Damar Cerrahisi Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, İstanbul, Türkiye

DOI : 10.5606/tgkdc.dergisi.2014.10264

Background: This study aims to emphasize the significance of guidance provided with intraoperative transesophageal echocardiography (TEE) for patients getting left ventricular assist device or extracorporeal membrane oxygenation (ECMO) installed transiently or permanently.

Methods: Intraoperative TEE findings of 26 patients with cardiomyopathy or severe acute cardiogenic shock, which required mechanical circulatory support (left ventricular assist device, ECMO), were recorded in our clinic between January 2012 and March 2014.

Results: Ventricular functions, and placement and effective functioning of the device were monitored with intraoperative TEE in patients receiving mechanical circulatory support. Required treatments and surgical corrections were performed with the guidance of TEE, and related data were recorded.

Conclusion: The evaluation of patients with intraoperative TEE may allow punctual and accurate identification of treatment approach and good hemodynamic monitorization, thus facilitating successful application of mechanical support systems.

Keywords : Extracorporeal membrane oxygenation; intraoperative transesophageal echocardiography; left ventricular assist devices

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