[Transesophageal echography. Value of the technic apropos of a preliminary experiment in 320 patients (385 examinations)].
The authors discuss the clinical utility and feasibility of trans-esophageal echocardiography. Between April and October 1988, 385 examinations were performed in 320 patients (mean age: 54 yr, range: 17-89). In 9 patients (2.4 p. 100), the transesophageal transducer could not be introduced. The only complication was one case of bacteremia without sequela, that occurred early in our use of this technique. Transesophageal echocardiography proved to be useful in the following indications: mitral stenosis (n = 50), mainly by detecting thromboses of the left atrium (n = 5); infectious endocarditis (n = 21), especially for diagnosing aortic ring abscesses (n = 3); severe mitral insufficiency (n = 26), to assess the mechanism of regurgitation and to visualize chordal rupture (n = 13). We conclude from this preliminary study that transesophageal echocardiography is particularly useful in the pathologies described above as a complementary procedure to conventional echocardiography.
Cormier
B
B
Service de Cardiologie, Hôpital Tenon, Paris.
Starkman
C
C
Kulas
A
A
Vitoux
B
B
Grimberg
D
D
Enriquez
L
L
Acar
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004452:Echocardiography / Q000379:methods*; D004696:Endocarditis / Q000175:diagnosis; D004947:Esophagus; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis*; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000175:diagnosis
L'échographie par voie oesophagienne. Intérêt de la technique à propos d'une expérience préliminaire concernant 320 patients (385 examens)