Possibilities and results of the method of intraoperative transesophageal echocardiography during Ozaki procedure

Authors: Kopylova N.S., Sokol’skaya N.O., Skopin I.I., Kakhktsyan P.V., Asatryan T.V.

Company: Bakoulev National Vedical Research Centre for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Original articles


DOI: https://doi.org/10.24022/1997-3187-2022-16-3-394-403

For citation: Kopylova N.S., Sokol’skaya N.O., Skopin I.I., Kakhktsyan P.V., Asatryan T.V. Possibilities and results of the method of intraoperative transesophageal echocardiography during Ozaki procedure. Creative Cardiology. 2022; 16 (3): 394–403 (in Russ.). DOI: 10.24022/1997-3187-2022-16-3-394-403

Received / Accepted:  28.06.2022 / 22.09.2022

Keywords: echocardiography intraoperative transesophageal echocardiography aortic valve Ozaki procedure

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Abstract

Objective. To evaluate the possibilities of intraoperative transesophageal echocardiography during Ozaki surgery in patients with aortic valve defect of various genesis.

Material and methods. The study included 28 patients with aortic valve pathology (average age – 62 years), including 24 with aortic stenosis and 4 with aortic insufficiency. Intraoperative transesophageal echocardiographic examination was performed in the perioperative period using a multiplane transesophageal sensor.

Results. Echocardiographic technologies used in perioperative studies in patients with aortic valve pathology reveal detailed information about leaflet anatomy and valve function. In 25 patients, the morphofunctional state of the neovalve in the aortic assessment was assessed as satisfactory, in 3 patients the failure of the unformed valve was diagnosed, which determined the change in the tactics of surgical treatment.

Conclusion. The article presents the results of intraoperative transesophageal echocardiography in patients with aortic malformations of various origins during the Ozaki operation. Intraoperative transesophageal echocardiography (TEE) diagnostics made it possible to evaluate the effectiveness of the performed surgical intervention and, in some cases, to correct the tactics and extent of surgical intervention.

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About Authors

  • Natal’ya S. Kopylova, Cand. Med. Sci., Senior Research; ORCID
  • Nadezhda O. Sokol’skaya, Dr. Med. Sci., Head of the group; ORCID
  • Ivan I. Skopin, Dr. Med. Sci., Corresponding Member of RAS, Director of the Institute of Coronary and Vascular Surgery, Head of the Department; ORCID
  • Pavel V. Kakhktsyan, Cand. Med. Sci., Senior Research; ORCID
  • Tigran V. Asatryan, Cand. Med. Sci., Researcher fellow reconstructive surgery of heart valves and coronary arteries; ORCID

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery