Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 823–837 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Review Article Intraoperative Echocardiographic Assessment of Prosthetic Valves: A Practical Approach n,1 n Faraz Mahmood, MD , Robina Matyal, MD , n † n Feroze Mahmood, MD , Richard D. Sheu, MD , Ruby Feng, BA , Kamal R. Khabbaz, MD Department of Surgery, Beth Israel Deaconess Medical Center/Valve Research Group, Harvard Medical School, Boston, MA University of Washington School of Medicine, Seattle, WA INTRAOPERATIVE ASSESSMENT of prosthetic valves is this article, the authors present a general qualitative and performed either immediately after replacement of a native quantitative approach toward immediate post-CPB evaluation valve as part of a redo valve surgery or after an incidental of prosthetic valves. discovery of a diseased valve during unrelated cardiac More than one quarter million prosthetic valves are surgery. It is a challenging undertaking that requires the implanted each year worldwide, with a 50% distribution highest levels of clinical multitasking under very labile between bioprosthetic and mechanical valves. Due to ongoing hemodynamic circumstances. Echocardiographers involved in technologic and design improvements, new and improved this decision-making should possess advanced training in
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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