title: Transesophageal echocardiography in NeoChord procedure.
abstract: BACKGROUND
  Transapical off-pump mitral valve intervention with neochord implantation for degenerative mitral valve disease have been recently introduced in the surgical practice. The procedure is performed under 2D-3D transesophageal echocardiography guidance.
  
  
  METHODS
  The use of 3D real-time transesophageal echocardiography provides more accurate information than 2D echocardiography only in all the steps of the procedure. In particular 3D echocardiography is mandatory for preoperative assessment of the morphology of the valve, for correct positioning of the neochord on the diseased segment , for the final tensioning of the chordae and for the final evaluation of the surgical result.
  
  
  CONCLUSIONS
  This article is to outline the technical aspects of the transesophageal echocardiography guidance of the NeoChord procedure showing that the procedure can be performed only with a close and continuous interaction between the anesthesiologist and the cardiac surgeon.
authors: Department of Medicine, Anesthesia and Intensive Care Unit, University of Padova, Padova, Italy.
authors: Pittarello
authors: P
authors: Demetrio
authors: Colli
authors: C
authors: Andrea
authors: Falasco
authors: F
authors: Gianclaudio
authors: Marcassa
authors: M
authors: Antonio
authors: Gerosa
authors: G
authors: Gino
authors: Ori
authors: O
authors: Carlo
mesh_terms: D002815:Chordae Tendineae / Q000000981:diagnostic imaging; D019560:Echocardiography, Three-Dimensional / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D018084:Ultrasonography, Interventional / Q000379:methods