[Value of early systematic transoesophageal ultrasonography after mitral valve replacement by Saint-Jude prosthesis].
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.
Mahdhaoui
Abdallah
A
Service de cardiologie CHU Farhat Hached, Sousse, Tunisie.
Majdoub
Mohamed Amine
MA
Bouraoui
Hatem
H
Jeridi
Gouider
G
S Ernez Hajri
Samia
S
Zaaraoui
Jilani
J
Ammar
Habib
H
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