1
|
Waldmann V, Milleron O, Iung B, Messika-Zeitoun D, Lepage L, Ghodbane W, Brochet E, Vahanian A, Nataf P, Jondeau G. Is Transesophageal Echocardiography Needed before Hospital Discharge in Patients after Bentall Surgery? J Am Soc Echocardiogr 2016; 30:52-58. [PMID: 27843101 DOI: 10.1016/j.echo.2016.10.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2016] [Indexed: 01/16/2023]
Abstract
BACKGOUND Whether transesophageal echocardiography (TEE) should be routinely performed before hospital discharge after Bentall surgery remains unclear. The investigators took advantage of this practice at their institution to evaluate its benefit. METHODS All patients who had undergone the Bentall procedure at Bichat Hospital from January 2010 to March 2014 were included. For each patient, transthoracic echocardiographic and transesophageal echocardiographic data and clinical events were retrospectively collected from the various reports. RESULTS One hundred ninety-eight patients underwent the Bentall procedure during the study period. Postoperative TEE was performed in 117 patients (59.1%), including nine with abnormalities observed on transthoracic echocardiography (a vibrating element on the new prosthetic valve, suspicion of peritubular complications in two patients, and aortic regurgitation in six patients). In 108 patients, routine TEE was performed (i.e., without clinical indication beyond baseline postoperative imaging). Patients with and those without routine TEE were identical, except for more frequent endocarditis as an indication for surgery in patients with routine TEE. Routine TEE did not reveal any new findings that prior transthoracic echocardiography had not shown. The most frequent finding on transthoracic echocardiography or TEE was periaortic hematoma, which sometimes led to the performance of computed tomography. This imaging did not change the care of the patients in this population. CONCLUSIONS This study does not support the performance of TEE after Bentall surgery during the in-hospital course in the absence of a specific indication. Baseline postoperative imaging using TEE or computed tomography should preferably be recommended beyond the early postoperative period after periaortic hematoma has resolved.
Collapse
Affiliation(s)
| | | | - Bernard Iung
- Department of Cardiology, Bichat Hospital, Paris, France; Laboratory for Vascular Translational Science, INSERM U1148, Bichat Hospital, Paris, France; University Paris 7, Paris, France
| | - David Messika-Zeitoun
- Department of Cardiology, Bichat Hospital, Paris, France; Laboratory for Vascular Translational Science, INSERM U1148, Bichat Hospital, Paris, France; University Paris 7, Paris, France
| | - Laurent Lepage
- Department of Cardiac Surgery, Bichat Hospital, Paris, France
| | - Walid Ghodbane
- Department of Cardiac Surgery, Bichat Hospital, Paris, France
| | - Eric Brochet
- Department of Cardiology, Bichat Hospital, Paris, France
| | - Alec Vahanian
- Department of Cardiology, Bichat Hospital, Paris, France; Laboratory for Vascular Translational Science, INSERM U1148, Bichat Hospital, Paris, France; University Paris 7, Paris, France
| | - Patrick Nataf
- Laboratory for Vascular Translational Science, INSERM U1148, Bichat Hospital, Paris, France; Department of Cardiac Surgery, Bichat Hospital, Paris, France; University Paris 7, Paris, France
| | - Guillaume Jondeau
- Department of Cardiology, Bichat Hospital, Paris, France; Laboratory for Vascular Translational Science, INSERM U1148, Bichat Hospital, Paris, France; University Paris 7, Paris, France.
| |
Collapse
|
2
|
A case of myocardial infarction effectively treated by emergency coronary stenting soon after a Bentall–De Bono aortic surgery. CARDIOVASCULAR REVASCULARIZATION MEDICINE 2010; 11:263.e5-9. [DOI: 10.1016/j.carrev.2009.07.003] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2009] [Revised: 07/03/2009] [Accepted: 07/07/2009] [Indexed: 11/24/2022]
|
3
|
Escribano Subías P, López Ríos F, Delgado Jiménez JF, Sotelo Rodríguez T, Aguado JM, Rodríguez Hernández E. [Mycotic aneurysm caused by Aspergillus of the aortic suture line after heart transplantation]. Rev Esp Cardiol 2000; 53:1403-5. [PMID: 11060261 DOI: 10.1016/s0300-8932(00)75249-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The first case of mycotic aneurysm of aorta by Aspergillus in a patient with heart transplantation is described, in which the infection was produced by direct surgical contamination of the aortic suture. The period of latency was of eight months. The unusualness of the case and its diagnostic difficulties, are is commented.
Collapse
|
4
|
Recambio valvular por insuficiencia aórtica severa tras cirugía conservadora según técnica de David. Rev Esp Cardiol (Engl Ed) 2000. [DOI: 10.1016/s0300-8932(00)75129-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
5
|
Felipe Valenzuela García L, García de Vinuesa G, Guerrero de Mier M, Beltrán J, Araji O, María Barquero Aroca J. Seudoaneurisma como complicación de la reconstrucción de aorta ascendente mediante injerto valvulado: dehiscencia perianular simulando una insuficiencia aórtica severa. Rev Esp Cardiol (Engl Ed) 1999. [DOI: 10.1016/s0300-8932(99)74998-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|