title: [Value of early systematic transoesophageal ultrasonography after mitral valve replacement by Saint-Jude prosthesis].
abstract: The aim of this study was to assess the value of the routine multiplane transoesophageal echocardiography (TEE) in the early postoperative period after mitral valve replacement with a Saint Jude Médical (SJM) mechanical prosthesis. This prospective work enrolled 56 patients who have been operated between September 1999 and September 2001, all these patients had a multiplan TEE after 14.7 days (8-29 days) of post-operative. The effect of peri-prosthetic leaks was 59%. They were always minimal and asymptomatic. 68% of them disappeared at the late exam. An asymptomatic intermittent blockage of an leaflet had been noted in one patient. It appears to us today indispensable to achieve a systematic TEE in the early post operative period after mitral valve replacement. This exam remains little aggressive and comfortably supportable by the patient in look of information brought.
authors.affiliation: Service de cardiologie CHU Farhat Hached, Sousse, Tunisie.
authors.forename: Abdallah
authors.initials: A
authors.lastname: Mahdhaoui
authors.forename: Mohamed Amine
authors.initials: MA
authors.lastname: Majdoub
authors.forename: Hatem
authors.initials: H
authors.lastname: Bouraoui
authors.forename: Gouider
authors.initials: G
authors.lastname: Jeridi
authors.forename: Samia
authors.initials: S
authors.lastname: S Ernez Hajri
authors.forename: Jilani
authors.initials: J
authors.lastname: Zaaraoui
authors.forename: Habib
authors.initials: H
authors.lastname: Ammar
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D017548:Echocardiography, Transesophageal / Q000379:methods* / Q000592:standards; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011182:Postoperative Care / Q000379:methods* / Q000592:standards; D011237:Predictive Value of Tests; D011379:Prognosis; D011446:Prospective Studies; D011475:Prosthesis Failure; D012307:Risk Factors; D016896:Treatment Outcome