Journal of the American Society of Echocardiography
Original ArticlesThe Role of Intraoperative Transesophageal Echocardiography in Patients Undergoing Cardiac Mass Removal*,**
Section snippets
Study Patients
Patients who were referred for cardiac surgery specifically for mass removal and had an IOTEE were identified from the Mayo Clinic IOTEE database for the period between January 1, 1993, and December 31, 1998. A total of 75 patients were identified. Information relating to clinical presentation, surgical procedure, complications, and outcome were obtained from the clinical records and our IOTEE database. All masses underwent pathologic examination after removal.
Echocardiographic Analysis
All patients had a preoperative
Patient Characteristics
The 75 patients (34 men and 41 women) were 17 to 82 years old (mean 56 ± 16 years). The presenting symptoms are outlined in Table 1. CHF, Congestive heart failure; CVA, cerebrovascular accident; SVC/IVC, superior/inferior vena cava; TIA, transient ischemic attack.Symptom No. of patients Percent CHF/dyspnea 23 31 Asymptomatic 18 24 CVA/TIA 16 21 SVC/IVC obstruction 6 8 Fever 4 5 Chest pain 3 4 Arrhythmia 2 3 Weight loss 1 1 Fatigue 1 1 Peripheral emboli 1 1 Total 75 100
Discussion
This study demonstrates the role of IOTEE in patients who undergo cardiac surgery for intracardiac mass removal. In addition to its value in identifying the anatomic extent and morphologic characteristics of various masses, in 9 patients IOTEE added diagnostic information that resulted in a modification of the surgical procedure. All 6 patients in whom new information was found before bypass had the surgical procedure modified, and in 3 patients, IOTEE after bypass prompted a return to bypass
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Cited by (0)
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Karl S. Dujardin, MD, is supported by a fellowship from the Belgian American Educational Foundation.
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Reprint requests: Roger L. Click, MD, PhD, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905 (E-mail: [email protected] ).