Transesophageal echocardiography in patients with mechanical circulatory assistance

Martin Brack, Jeanne D. Olson, Wes R. Pedersen, Irvin F. Goldenberg, Fredarick L. Gobel, Marc R. Pritzker, Robert W. Emery, Helmut W. Lange

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Transesophageal echocardiography was used to assess myocardial function and to detect complications after mechanical circulatory support for 8 patients with cardiogenic shock. In 3 of 8 patients, serial transesophageal echocardiography documented improvement of systolic ventricular function, and it was possible to wean these 3 patients from the ventricular assist device. In all patients, transesophageal echocardiography added clinically important information including the extent of left and right ventricular dysfunction (6 patients), presence of atrial or ventricular thrombus (5 patients), presence of pericardial effusion or clot (2 patients), and verification of the position of the intravascular device (1 patient). Thus, transesophageal echocardiography may provide clinically useful information regarding both the underlying cardiac disease and potential complications from the mechanical circulatory assistance.

Original languageEnglish (US)
Pages (from-to)1306-1309
Number of pages4
JournalThe Annals of thoracic surgery
Volume52
Issue number6
DOIs
StatePublished - Dec 1991

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