Effect of general anesthesia on the severity of mitral regurgitation by transesophageal echocardiography

The effect of general anesthesia on the severity of mitral regurgitation (MR) was examined in 43 patients with moderate or severe MR who underwent preoperative and intraoperative transesophageal echocardiography. Systolic blood pressure, mean arterial pressure, and left ventricular end-diastolic and...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of cardiology 2000-01, Vol.85 (2), p.199-203
Main Authors: Grewal, Karanvir S, Malkowski, Michael J, Piracha, Amir R, Astbury, Jeffrey C, Kramer, Christopher M, Dianzumba, Sinda, Reichek, Nathaniel
Format: Article
Language:English
Subjects:
Aged
Anesthesia
Anesthesia, General
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular disease
Echocardiography, Transesophageal
Endocardial and cardiac valvular diseases
Heart
Humans
Medical sciences
Mitral Valve Insufficiency - diagnostic imaging
Retrospective Studies
Severity of Illness Index
Ultrasonic imaging
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The effect of general anesthesia on the severity of mitral regurgitation (MR) was examined in 43 patients with moderate or severe MR who underwent preoperative and intraoperative transesophageal echocardiography. Systolic blood pressure, mean arterial pressure, and left ventricular end-diastolic and end-systolic dimensions were significantly lower during the intraoperative study, reflecting altered loading conditions. The mean color Doppler jet area and mean vena contracta decreased and the mean pulmonary venous flow pattern changed from reversed to blunted, reflecting a significant reduction in the severity of MR. Overall, 22 of the 43 patients (51%) improved at least 1 MR severity grade when assessed under general anesthesia. Thus, intraoperative transesophageal echocardiography may significantly underestimate the severity of MR. A thorough preoperative assessment is preferable when deciding whether to perform mitral valve surgery.
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(99)00644-X