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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  CASE REPORT
Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography
Neeti Makhija, Kalpna Irpachi, Ujjwal K Chowdhury, Usha Kiran
[Year:2016] [Month:January-June] [Volume:4 ] [Number:1] [Pages:35] [Pages No:30-33] [No of Hits : 926]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1050 |

ABSTRACT

Left atrial myxomas are usually attached to the interatrial septum. This case highlights the unusual site of attachment of left atrial myxoma. The site of attachment was via a broad stalk at the junction of mitral valve annulus close to anterior mitral leaflet and adjacent left atrial wall. Transesophageal echocardiography helped in the detection of site of attachment as well as in postoperative evaluation.

Keywords: Left atrial mass, Left atrial myxoma, TEE, TTE.

How to cite this article: Makhija N, Irpachi K, Chowdhury UK, Kiran U. Unusual Attachment of Left Atrial Myxoma: Role of Transesophageal Echocardiography. J Perioper Echocardiogr 2016;4(1):30-33.

Source of support: Nil

Conflict of interest: None

 
2.  REVIEW ARTICLE
Perioperative Echocardiographic Features of Total Anomalous Pulmonary Venous Connection
Alok Kumar, Vikas Dutta, Goverdhan Dutt Puri, Parag Barwad
[Year:2016] [Month:July-December] [Volume:4 ] [Number:2] [Pages:43] [Pages No:51-58] [No of Hits : 911]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1054 | FREE

ABSTRACT

Total anomalous pulmonary venous connection (TAPVC) refers to when all four pulmonary veins connect anomalously to the right atrium, directly or indirectly. Perioperative echocardiography, both transthoracic and transesophageal (TEE) with color flow imaging and Doppler interrogation, can identify the venous confluence, its connections, obstructions if any in the pathway, and any interatrial communication. They supplement each other in delineating the anatomy of such anomalous pulmonary venous connections. Perioperative TEE evaluation of patients with repaired TAPVC confirms the adequacy of repair, leaks or stenosis of the venous baffle. We summarize the role of perioperative echocardiography in understanding cases of TAPVC.

Keywords: Perioperative transesophageal echocardiography, Pulmonary veins, Total anomalous pulmonary venous connection, Transesophageal echocardiography, Transthoracic echocardiography.

How to cite this article: Kumar A, Dutta V, Puri GD, Barwad P. Perioperative Echocardiographic Features of Total Anomalous Pulmonary Venous Connection. J Perioper Echocardiogr 2016;4(2):51-58.

Source of support: Nil

Conflict of interest: None

 
3.  CASE REPORT
Echocardiographic Evaluation and Management of Right Ventricular Dysfunction during Cardiac Transplantation
Alok Kumar, VK Arya, Ajay Kumar, Goverdhan Dutt Puri, KST Shyam, Ajay Bahl
[Year:2016] [Month:January-June] [Volume:4 ] [Number:1] [Pages:35] [Pages No:10-13] [No of Hits : 804]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1045 |

ABSTRACT

Cardiac allotransplantation has, over the years, become the established therapeutic modality for patients with end-stage heart failure. This case report focuses on the anesthetic challenges involved in the perioperative management of recipient with right ventricular dysfunction as well as echocardiographic assessment to assist in therapy.

Keywords: Cardiac transplant, Echocardiography, Right ventricle dysfunction.

How to cite this article: Kumar A, Arya VK, Kumar A, Puri GD, Shyam KST, Bahl A. Echocardiographic Evaluation and Management of Right Ventricular Dysfunction during Cardiac Transplantation. J Perioper Echocardiogr 2016;4(1):10-13.

Source of support: Nil

Conflict of interest: None

 
4.  CASE REPORT
Giant Right Atrial Myxoma: The Importance of Transesophageal Echocardiography during Diagnosis, Evaluation, and Resection
Elizabeth Ungerman, Wendy Haft
[Year:2016] [Month:July-December] [Volume:4 ] [Number:2] [Pages:43] [Pages No:74-78] [No of Hits : 784]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1059 | FREE

ABSTRACT

Most cardiac tumors are benign myxomas, and are most commonly found in the left atrium. Such tumors are identified either during symptomatic workup or found incidentally. We present a case in which a patient with recurrent transient ischemic attacks and syncope was found to have a giant right atrial myxoma with subsequent right atrial outflow obstruction. The mass was initially diagnosed on transthoracic echocardiography and its full scope was detailed utilizing transesophageal echocardiography (TEE). With swift intervention, the mass was successfully removed with the help of TEE guidance and the patient made a full recovery. The importance of TEE both preoperatively and intraoperatively during resection of giant cardiac masses is highlighted.

Keywords: Atrial masses, Cardiac tumors, Myxoma, Transesophageal echocardiography.

How to cite this article: Ungerman E, Haft W. Giant Right Atrial Myxoma: The Importance of Transesophageal Echocardiography during Diagnosis, Evaluation, and Resection. J Perioper Echocardiogr 2016;4(2):74-78.

Source of support: Nil

Conflict of interest: None

 
5.  CASE REPORT
Perioperative Echocardiographic Diagnosis of Regional Wall Motion Abnormalities: Not All of Them are Ischemic!
Michael L Boisen, Stephen M McHugh, Robert H Boretsky, Dennis P Phillips, Li Meng, Mathew W Caldwell, A Murat Kaynar, Kathirvel Subramaniam
[Year:2016] [Month:July-December] [Volume:4 ] [Number:2] [Pages:43] [Pages No:70-73] [No of Hits : 700]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1058 | FREE

ABSTRACT

We present three noncardiac surgical patients with regional left ventricular dysfunction diagnosed by bedside echocardiography: One intraoperative, another immediate postoperative, and a third one with preoperative hemodynamic instability. We review the differential diagnosis and the growing role of perioperative transthoracic echocardiography.

Keywords: Ischemia, Perioperative, Transthoracic echocardiography, Wall motion.

How to cite this ar ticle: Boisen ML, McHugh SM, Boretsky RH, Phillips DP, Meng L, Caldwell MW, Kaynar AM, Subramaniam K. Perioperative Echocardiographic Diagnosis of Regional Wall Motion Abnormalities: Not All of Them are Ischemic! J Perioper Echocardiogr 2016;4(2):70-73.

Source of support: Nil

Conflict of interest: None

 
6.  REVIEW ARTICLE
Perioperative Ultrasonography Review
Nicholas J Schott, Christopher K Schott
[Year:2016] [Month:January-June] [Volume:4 ] [Number:1] [Pages:35] [Pages No:3-9] [No of Hits : 691]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1044 |

ABSTRACT

Point-of-care ultrasonography (POCUS) has become increasingly utilized in modern medicine. Advancements in device technology and ease of use have dramatically broadened its clinical applications. The role in acute care specialties of a pointof- care device has allowed increased opportunities for patient assessment and management. The specialties of emergency medicine and critical care medicine have accepted POCUS in many aspects of clinical use as well as trainee education. Anesthesiology has begun to implement the use of POCUS, specifically transthoracic echocardiography, in the perioperative setting. Many elements of patient care can be addressed and modified using this as an assessment tool. This has led to in growth in ultrasonography training and the potential to be a staple of future anesthesiology care. Point-of-care ultrasonography may become vital to the forefront of management for improving perioperative patient care.

Keywords: Perioperative ultrasound, Point of care, Transthoracic.

How to cite this article: Schott NJ, Schott CK. Perioperative Ultrasonography Review. J Perioper Echocardiogr 2016; 4(1):3-9.

Source of support: Nil

Conflict of interest: None

 
7.  EDITORIAL
Editorial
Kathirvel Subramaniam
[Year:2016] [Month:January-June] [Volume:4 ] [Number:1] [Pages:35] [Pages No:1-2] [No of Hits : 638]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1043 |

ABSTRACT

The use of cardiac ultrasound in medical practice has been well known for almost 60 years. Although primarily a domain of cardiologists, anesthesiologists got involved in the practice of diagnostic intraoperative transesophageal echocardiography (TEE) during cardiac surgery for nearly two decades.

 
8.  ORIGINAL ARTICLE
Comparison of Two Different Methods of obtaining Strain by Perioperative Transesophageal Echocardiography in Patients undergoing Coronary Artery Bypass Graft Surgery: A Prospective Observational Study
Alok Kumar, Banashree Mandal, Ravi Raj, Imran Bhat
[Year:2016] [Month:July-December] [Volume:4 ] [Number:2] [Pages:43] [Pages No:37-44] [No of Hits : 627]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1052 | FREE

ABSTRACT

Introduction: Tissue deformation imaging enables the objective assessment of regional myocardial deformation assessed by ultrasound-based strain and strain rate. There are two ways to compute myocardial deformation (strain) using echocardiography: One-dimensional tissue Doppler (DTI)-derived strain and two-dimensional (2D) strain derived from B-mode images (speckle tracking, 2D-ST). This study compares the myocardial deformation parameter (i.e., strain) by these two techniques in the perioperative period using transesophageal echocardiography (TEE) in patients undergoing surgery for coronary artery bypass graft (CABG).

Materials and methods: We performed preoperative global longitudinal strain (GLS) of left ventricle (LV) using 2D-ST and DTI, three-dimensional (3D) left ventricular ejection fraction (LVEF) and 2D LVEF in a consecutive series of 50 adult patients scheduled for on-pump CABG.

Result: There was no difference between 2D and 3D LVEF (p < 0.0001), GLS using 2D-ST and DTI (p-value = 0.0005). The 3D LVEF correlated well with GLS using 2D-ST (r = 0.54, p < 0.0001) and less with tissue Doppler-derived GLS (r = 0.35, p-value = 0.0131).

Conclusion: The LV GLS calculated using 2D-ST correlates well with LV GLS derived from DTI using TEE. The LV GLS also correlated well with the 3D LVEF.

Keywords: Global longitudinal strain, Speckle tracking, Three-dimensional transesophageal echocardiography, Tissue doppler strain, Transesophageal echocardiography.

How to cite this article: Kumar A, Mandal B, Raj R, Bhat I. Comparison of Two Different Methods of obtaining Strain by Perioperative Transesophageal Echocardiography in Patients undergoing Coronary Artery Bypass Graft Surgery: A Prospective Observational Study. J Perioper Echocardiogr 2016;4(2):37-44.

Source of support: This study was partially supported by the Society of Transesophageal Echocardiography Research Fellowship, awarded to Dr Alok Kumar. Clinical-Trials.gov ID: NCT02692131.

Conflict of interest: None

 
9.  REVIEW ARTICLE
Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training
Ravi Raj
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:38] [Pages No:17-24] [No of Hits : 1858]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1030 | FREE

ABSTRACT

Mitral stenosis is most commonly due to rheumatic heart disease, even in western countries. Transthoracic echocardiography is the modality of choice for establishing diagnosis, underlying cause, assessment of severity, staging of disease, valve morphology and other associated lesions. Transesophageal echocardiography is recommended in patients considered for percutaneous balloon mitral valvotomy to rule out LA clot, significant MR and to better assess mitral valve morphology. Three-dimensional echocardiography is now increasingly used for estimating mitral valve area and suitability for percutaneous balloon mitral valvotomy. We provide a brief discussion on echocardiographic assessment of mitral stenosis.

Keywords: Rheumatic mitral stenosis, Transthoracic echocardiography, Transesophageal echocardiography, Threedimensional echocardiography, Mitral valve.

How to cite this article: Raj R. Echocardiographic Assessment of Mitral Stenosis: Key Learning Points for Fellows/Residents in Training. J Perioper Echocardiogr 2015;3(1):17-24.

Source of support: Nil

Conflict of interest: None

 
10.  REVIEW ARTICLE
Role of Perioperative Echocardiography Leadership in a Tertiary University Hospital
Kathirvel Subramaniam, Balachundhur Subramaniam
[Year:2015] [Month:January-June] [Volume:3 ] [Number:1] [Pages:38] [Pages No:4-16] [No of Hits : 1090]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10034-1029 | FREE

ABSTRACT

Echocardiography has been shown to improve the perioperative outcomes of surgical and critically ill patients. Several modalities of echocardiography (transthoracic, transesophageal, epicardial and epiaortic) are being utilized clinically for the hemodynamic management of surgical patients. They can be collectively described as perioperative echocardiography (PEC). Because of such a wider scope of practice in perioperative echocardiography, there is a need for leadership to maintain equipment, good clinical practice, education, research, quality, documentation, billing and reimbursement. American Society of Echocardiography (ASE) and Society of Cardiovascular Anesthesiologists (SCA) published guidelines for performance, reporting, education and quality improvement in PEC. The major role of echocardiography leadership is to ensure PEC team follows the guidelines published by ASE/SCA in their practice and utilize the potential of the various modalities to the benefit and safety of their patients. This article explores the key roles of the director for perioperative echocardiography service at a tertiary university hospital.

Keywords: Perioperative echocardiography, Leadership role, University hospital.

How to cite this article: Subramaniam K, Subramaniam B. Role of Perioperative Echocardiography Leadership in a Tertiary University Hospital. J Perioper Echocardiogr 2015;3(1):4-16.

Source of support: Nil

Conflict of interest: None declared

 
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