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Anesth Analg 1987; 66:386-390
© 1987 International Anesthesia Research Society
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Intraoperative Transesophageal Color Flow Mapping

Initial Experience

Norbert P. de Bruijn, MD, Fiona M. Clements, MD, and Joseph A. Kisslo, MD

Department of Anesthesiology, Division of Cardiothoracic Anesthesia, and the Department of Medicine, Division of Cardiology, Duke University Medical Center, Durham, North Carolina.

Abstract

Transesophageal Doppler color flow mapping (TEDCFM) is a new ultrasound modality now being developed. It provides a convenient, noninvasive way to image cardiac anatomy and intracardiac blood flow that is applicable to intraoperative use. We describe its use in one normal subject and seven cardiac surgical patients. Blood flow characteristics as visualized by TEDCFM are described for these patients. Transesophageal Doppler color flow mapping provided specific information about the presence, site, and severity of mitral regurgitation, aortic regurgitation, and interatrial shunting. Paravalvular leak was detected in one patient after mitral valve replacement. The intimal tear of a type 1 aortic dissection was located with positive identification of the true and false lumina. A high incidence of mild asymptomatic mitral regurgitation was found in patients undergoing coronary artery bypass grafting (CABG).

Key Words: HEART—function • MEASUREMENT TECHNIQUE—transesophageal color flow mapping






Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 1987 by the International Anesthesia Research Society.