title: Intraoperative transesophageal echocardiography for surgical repair of mitral regurgitation.
abstract: Surgical repair of the mitral valve is being increasingly performed to treat severe mitral regurgitation. Transesophageal echocardiography is an essential tool for assessing valvular function and guiding surgical decision making during the perioperative period. A careful and systematic transesophageal echocardiographic examination is necessary to ensure that appropriate information is obtained and that the correct diagnoses are obtained before and after repair. The purpose of this article is to provide a practical guide for perioperative echocardiographers caring for patients undergoing surgical repair of mitral regurgitation. A guide to performing a systematic transesophageal echocardiographic examination of the mitral valve is provided, along with an approach to prerepair and postrepair assessment. Additionally, the anatomy and function of normal and regurgitant mitral valves are reviewed.
authors.affiliation: Department of Anesthesia, The Cardiovascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand. Electronic address: dsidebotham@adhb.govt.nz.
authors.forename: David Andrew
authors.initials: DA
authors.lastname: Sidebotham
authors.affiliation: Department of Anesthesia, The Cardiovascular Intensive Care Unit, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Sara Jane
authors.initials: SJ
authors.lastname: Allen
authors.affiliation: Green Lane Cardiovascular Service, Auckland City Hospital, Auckland, New Zealand.
authors.forename: Ivor L
authors.initials: IL
authors.lastname: Gerber
authors.affiliation: Department of Cardiac Surgical Services, Holy Spirit Northside Hospital and The Prince Charles Hospital, Brisbane, Australia.
authors.forename: Trevor
authors.initials: T
authors.lastname: Fayers
mesh_terms: D017548:Echocardiography, Transesophageal / Q000379:methods*; D006801:Humans; D007089:Image Enhancement / Q000379:methods*; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery*; D016343:Monitoring, Intraoperative / Q000379:methods; D018579:Patient Selection; D025321:Surgery, Computer-Assisted / Q000379:methods*
keywords: Cardiac surgery; Intraoperative; Mitral valve repair; TEE; Transesophageal echocardiography