Surgical Approach to a Left Ventricular Mass Guided by Transesophageal Echocardiography

Connors, Christopher W.; Locke, Andrew; Silver, David

doi:10.1213/ane.0b013e31819cadc2

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…Prior to ventriculotomy closure, de-airing of the LV ventricular cavity was performed, by filling the cavity with blood, by decreasing venous return to the heart lung machine. complications [8,9]. Serendipitously, we observed that by filling the LV cavity with blood prior to ventriculotomy closure, during de-airing of the heart, residual intra-cavitary fibrin strands and fragments could be visualized via TEE.…”

Section: Discussionmentioning

confidence: 91%

An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus

Gologorsky¹,

Carvalho²,

Macedo³

et al. 2009

Rev Bras Cir Cardiovasc

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Manobra intraoperatória guiada por ecocardiografia transesofágica para facilitar remoção de trombo intraventricularAn intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus Abstract Intra-cavitary thrombus size, mobility and friability are of great importance in deciding whether surgical removal is indicated. Thrombus characteristics may render surgical thrombectomy incomplete, a risk for catastrophic embolization. During de-airing of the heart, after removal of an intraventricular thrombus, filling the open ventricular cavity with blood serendipitously allowed trans-esophageal echocardiographic (TEE) visualization of undetected residual thrombi fragments. This experience leads us to advocate repeated filling and emptying of the left ventricle with blood, under TEE guidance, in order to facilitate complete removal of thrombotic material prior to ventriculotomy closure, and prior to weaning from cardiopulmonary bypass (CPB).Descriptors: Embolism and thrombosis. Echocardiography, transesophageal. Echocardiography.

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Section: Discussionmentioning

confidence: 91%

An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus

Gologorsky¹,

Carvalho²,

Macedo³

et al. 2009

Rev Bras Cir Cardiovasc

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“…Intraoperative TEE is useful not only in confirming the presence and characteristics of a cardiac tumor but is also fundamental in planning the best surgical approach. 10 Dujardin et al reported that result of new information provided by intraoperative TEE was changed the surgical plan in 16% of the patients undergoing resection of intracardiac masses. 11 One of the surgical purposes is prevention of recurrences.…”

Section: Discussionmentioning

confidence: 99%

Determination of residual mass in left ventricle by intraoperative transesophageal echocardiography after a giant and floating left atrial myxoma resection

Kavakli

Öztürk

2018

Brazilian Journal of Anesthesiology (English Edition)

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“…To minimize the incidence of complications associated with a left ventriculotomy, the length of the ventriculotomy was designed to be as short as possible. A proper ventriculotomy was planned according to measurement by the combined use of TEE [7] from the inside and epicardial direct echocardiography from the outside. This method provided a good guide without being complicated.…”

Section: Discussionmentioning

confidence: 99%

Surgical approach to a left ventricular myxoma guided by transesophageal and epicardial dual-view echocardiography: a case report

Hamasaki

Ishikawa

2016

surg case rep

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BackgroundLeft ventricular myxoma is a rare benign cardiac neoplasm. Surgical excision is the treatment of choice, and complete removal is mandatory to prevent late recurrence.Case presentationHere, we report a case of myxoma originating from the anterolateral wall of the left ventricle with a very short stalk. Accordingly, the transaortic and transmitral approaches were considered inadequate; therefore, a transventricular approach was adopted. To minimize the incidence of complications associated with a left ventriculotomy, its length was designed to be as short as possible. To plan a proper ventriculotomy, measurements were taken by the combined use of transesophageal echocardiography and epicardial direct echocardiography.ConclusionsThis method provided a good guide without being a complicated technique. The tumor and its attachment were clearly visualized and completely resected in an en bloc fashion. No recurrence has occurred to date.

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Surgical Approach to a Left Ventricular Mass Guided by Transesophageal Echocardiography

Cited by 6 publications

References 7 publications

An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus

An intraoperative transesophageal echocardiography-guided maneuver to assist the removal of an intraventricular thrombus

Determination of residual mass in left ventricle by intraoperative transesophageal echocardiography after a giant and floating left atrial myxoma resection

Surgical approach to a left ventricular myxoma guided by transesophageal and epicardial dual-view echocardiography: a case report

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