Transesophageal echocardiography in NeoChord procedure

Background: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time trans...

Full description

Bibliographic Details
Main Authors: Pittarello Demetrio, Colli Andrea, Falasco Gianclaudio, Marcassa Antonio, Gerosa Gino, Ori Carlo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2015;volume=18;issue=2;spage=191;epage=197;aulast=Demetrio
_version_ 1818050689267400704
author Pittarello Demetrio
Colli Andrea
Falasco Gianclaudio
Marcassa Antonio
Gerosa Gino
Ori Carlo
author_facet Pittarello Demetrio
Colli Andrea
Falasco Gianclaudio
Marcassa Antonio
Gerosa Gino
Ori Carlo
author_sort Pittarello Demetrio
collection DOAJ
description Background: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result. Result and Conclusion: This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.
first_indexed 2024-12-10T10:57:28Z
format Article
id doaj.art-06f505017f5444ba8b54bbdd60cf59de
institution Directory Open Access Journal
issn 0971-9784
language English
last_indexed 2024-12-10T10:57:28Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Annals of Cardiac Anaesthesia
spelling doaj.art-06f505017f5444ba8b54bbdd60cf59de2022-12-22T01:51:48ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842015-01-0118219119710.4103/0971-9784.154473Transesophageal echocardiography in NeoChord procedurePittarello DemetrioColli AndreaFalasco GianclaudioMarcassa AntonioGerosa GinoOri CarloBackground: Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance. Methods: The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result. Result and Conclusion: This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.http://www.annals.in/article.asp?issn=0971-9784;year=2015;volume=18;issue=2;spage=191;epage=197;aulast=DemetrioMitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography
spellingShingle Pittarello Demetrio
Colli Andrea
Falasco Gianclaudio
Marcassa Antonio
Gerosa Gino
Ori Carlo
Transesophageal echocardiography in NeoChord procedure
Annals of Cardiac Anaesthesia
Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography
title Transesophageal echocardiography in NeoChord procedure
title_full Transesophageal echocardiography in NeoChord procedure
title_fullStr Transesophageal echocardiography in NeoChord procedure
title_full_unstemmed Transesophageal echocardiography in NeoChord procedure
title_short Transesophageal echocardiography in NeoChord procedure
title_sort transesophageal echocardiography in neochord procedure
topic Mitral valve prolapse; NeoChord delivery system; three-dimensional transesophageal echocardiography
url http://www.annals.in/article.asp?issn=0971-9784;year=2015;volume=18;issue=2;spage=191;epage=197;aulast=Demetrio
work_keys_str_mv AT pittarellodemetrio transesophagealechocardiographyinneochordprocedure
AT colliandrea transesophagealechocardiographyinneochordprocedure
AT falascogianclaudio transesophagealechocardiographyinneochordprocedure
AT marcassaantonio transesophagealechocardiographyinneochordprocedure
AT gerosagino transesophagealechocardiographyinneochordprocedure
AT oricarlo transesophagealechocardiographyinneochordprocedure