IntraoperativeTransesophagealEchocardiographicPredict术中经食管超声心动图的预测实用教案

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1、Aim of the studyThe present study examines the intraoperative echocardiographic features associated with late failure of aortic valve repair.第1页/共13页第一页，共14页。Method: Study population From 12/1995 to 06/2007 186 consecutive patients (51 women, mean age: 54-Yrs) - Aortic valve repair for significant A

2、R - With comprehensive pre-, intra- and follow-up echocardiography 122 pts (group A, 53- Yrs) with no AR 23 pts (group B, 50- Yrs) with grade 1 AR 41 pts (group C, 63- Yrs) with recurrent severe AR Compared for immediate post-operative TEE measurements. Analysis of the cause of recurrence (group B &

3、 C).第2页/共13页第二页，共14页。Method: TEE analysis 第3页/共13页第三页，共14页。Results (1): Follow-up:第4页/共13页第四页，共14页。Results (2): Pre-operative characteristics第5页/共13页第五页，共14页。Results (3): immediate post-op TEE:第6页/共13页第六页，共14页。Results (4): Cox univariate analysisType 3 ARMarfan diseaseThe coaptation lengthThe degree

4、 of cusp billowingThe level of coaptation (relative to the annulus)The diameter of the aortic annulusThe diameter sino-tubular junctionThe presence of a residual ARThe severity of residual AR (vena contracta width) Were found to correlates with AR failure第7页/共13页第七页，共14页。Results (4): Cox multivariat

5、e analysis第8页/共13页第八页，共14页。TEE decision chartCoaptation tips below the annulus?NoResidual AR?YesReccurence rate: 20/28 (71%)Redo: 12/28 (43%) NoReccurence rate: 2/81 (2%)Redo: 1/81 (1%) YesCoaptation length?CL 4mmReccurence rate: 2/41 (5%)Redo: 0/41 (0%)第9页/共13页第九页，共14页。4-years Survival free from re

6、do according to TEE Time (Years)01234Event Free Survival0,00,20,40,60,81,0Tips annulus Residual AR CL annulus No Residual ARTips annulus Residual AR CL 4mm 第10页/共13页第十页，共14页。第11页/共13页第十一页，共14页。Conclusion:Our results demonstrate that intraoperative TEE can be used to identify pts undergoing AR repair

7、 who are at increased risk for late repair failure 第12页/共13页第十二页，共14页。感谢您的观看(gunkn)！第13页/共13页第十三页，共14页。NoImage内容(nirng)总结Aim of the study。Method: TEE analysis。Results (1): Follow-up:。Group B (n=23)。ST jct (mm)。Eccentric Jet (%)。6.52 - 9.28。Redo: 1/81 (1%)。Redo: 0/41 (0%)。第12页/共13页。感谢您的观看(gunkn)第十四页，共14页。