Intraoperative TEE of the Month - November 2015

published 4 years ago by Ed Nemergut and Robert Thiele (presented by the IARS)

Right ventricular failure

This is doctor Julie Huth Meyer with our open the anesthesia intra operative T. E. case of the month for November 2015. Each month we feature an operative case which teachers are emphasizes an important aspect of basic intro operative T. E.. Our patient this month is a 70 year old woman she was admitted on the day of surgery for elective aortic valve replacement for severe aortic stenosis. Her pre operative transfer Asako echocardiogram revealed an aortic valve area of 0.6 centimeter squared with a peak gradient of 84 millimeters of mercury Ameen gradient of 46 millimeters of mercury with moderate aortic regurgitation but preserved left ventricular ejection fraction of 55 to 60 percent. Her right ventricular systolic pressure was measured to be 50 to 60 millimeters of mercury. As many patients with aortic stenosis also have coexisting coronary artery disease are patient also had a left heart ...

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