Intraoperative TEE of the Month - October 2017

published 1 year ago by Ed Nemergut and Robert Thiele (presented by the IARS)

Tricuspid regurgitation​

This is doctor Julie health Meyer with our opening anesthesia intraoperative T. E. case of the month for October 2017. Each month we feature an operative case which teaches or emphasizes an important aspect of basic intraoperative T. E.. Our patient this month is a 65 year old woman with a history of bicuspid aortic valve requiring previous aortic valve replacement and then a subsequent mitral valve replacement due to infective endocarditis. She presented with increased shortness of breath and congestive heart failure requiring diabetic administration. Her trance thrust echocardiogram showed significant prosthetic valve stenosis of both the previous aortic and mitral valve replacement valves along with moderately severe tricuspid regurgitation. Cardiac catheterization revealed minimal obstructive coronary artery disease. But pulmonary hypertension was noted with PA pressures 2 thirds that of her systemic arterial blood pressure. She put ...

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