[Intraoperative echocardiography--status and perspectives].
The transoesophageal echocardiography gives a new possibility of the continuous control of the ventricular function, of the valvular and subvalvular morphology and of haemodynamic abnormalities during anaesthesia and operation. It allows to obtain echocardiographic records during the whole operation of one and the same place without transducer and sound being sterile or other precautionary measures of the sterility being taken into consideration. Their use neither demands that the surgeon interrupts his work nor is he bound to the open thorax. The result of the operation can be controlled immediately after the surgical intervention and remaining defects can be made visible. Defects which are in direct connection with the surgical intervention and are established before the end of the operation should cause the surgeon to repeat or to continue the intervention for as long as the patient is still in the operating theatre. Intra- and postoperatively, the transoesophageal echocardiography puts, him into the place to apply a medicamentous therapy and/or circulatory assistancies and finally to delay the occlusion of the thorax or to perform the rethoracotomy. As a matter of experience two to three days later the operation wound can again be closed without much ado.
Oelert
H
H
Klinik für Herz-, Thorax- und Gefässchirurgie der Johannes-Gutenberg-Universität Mainz.
Drexler
M
M
Erbel
R
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004452:Echocardiography / Q000379:methods; D015150:Echocardiography, Doppler; D004945:Esophagoscopy; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged
Intraoperative Echokardiographie--Stand und Perspektiven.