Intraoperative transesophageal echocardiography following mitral valve repair: a systematic review
Zamper, Raffael; Prempeh, Agya; Iglesias, Ivan; Fayad, Ashraf
Brazilian Journal of Anesthesiology
DATA DE PUBLICAÇÃO
Abstract Objective: We aimed to examine the recent evidence and search for novel assessments on intraoperative TEE following mitral valve repair that can impact short and long-term outcomes. Methods: The Ovid MEDLINE, PubMed, and EMBASE databases were searched from January 1, 2008, until January 27, 2021, for studies on patients with severe Mitral Valve Regurgitation (MR) undergoing Mitral Valve (MV) repair surgery with intraoperative Transesophageal Echocardiography (TEE) performed after the repair. Additional searches were conducted using Google search engine, Web of Science, and Cochrane Library. Results: After reviewing 302 records, 8 retrospective and 22 prospective studies were included (n = 30). Due to clinical and methodological diversity, these studies are noncomparable and data were not amenable to quantitative synthesis. Conclusion: Although technological advances allowed the objective assessment of geometric and dynamic alterations of the MV, the impact of the use of these technologies on short- or longterm outcomes was not studied. There is uncertainty and conflicting evidence on the ideal method and metrics to evaluate MV patency post-repair. Few isolated studies validated methods to assess coaptation surface and LV function post-repair.
- Mitral valve repair: a clinical and echocardiographic study.
- Systolic Anterior Motion of the Mitral Valve after Mitral Valve Repair: A Method of Prevention
- Intraoperative Transesophageal Echocardiography for Congenital Heart Disease
- Rupture of left ventricle after mitral valve repair: case report and new technique of repair.
- Aortic dissection after mitral valve replacement: the role of intraoperative echocardiography in this diagnosis