title: [Minimally invasive technique for mitral valve repair--the importance of intraoperative transesophageal echocardiography].
abstract: A 65-year-old male with mitral regurgitation was scheduled for the mitral valve repair by means of minimally invasive technique. The technique, which requires a 10-cm right parasternal incision, offers minimal discomfort, less postoperative pain, quick functional recovery and excellent cosmetic healing. However, the intraoperative monitoring by the transesophageal echocardiography was required to evaluate the mitral valve function and to confirm the complete removal of air from the apex of the left ventricle and right upper pulmonary vein due to the small operative field. In addition, the monitoring of the short-axis view of the left ventricle makes it possible to evaluate and to confirm the preload and the left ventricular contractility. We considered that the transesophageal echocardiography is essential and useful for the minimally invasive mitral valve repair.
authors.affiliation: Department of Anesthesiology, School of Medicine, Keio University, Tokyo.
authors.forename: T
authors.initials: T
authors.lastname: Yamada
authors.forename: H
authors.initials: H
authors.lastname: Morii
authors.forename: K
authors.initials: K
authors.lastname: Moriyama
authors.forename: Y
authors.initials: Y
authors.lastname: Iida
authors.forename: S
authors.initials: S
authors.lastname: Hashiguchi
authors.forename: R
authors.initials: R
authors.lastname: Ochiai
authors.forename: J
authors.initials: J
authors.lastname: Takeda
authors.forename: K
authors.initials: K
authors.lastname: Fukushima
mesh_terms: D000368:Aged; D000758:Anesthesia; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D008943:Mitral Valve / Q000000981:diagnostic imaging* / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D016343:Monitoring, Intraoperative