DK2985_C000 1..28 - AlSharqia Echo Club

TEE in Mechanical Circulatory Assistance 327(A)(B)LARARVLVINFLOWCANNULA(C)(D)SVCRPAAoLPAMPA(E)(F)IVCLIVERHEPATICVEINLIVERIVCFigure 14.14 Right ventricular dysfunction in a 46-year-old woman with a left ventricular assist device (Thoratec system). (A, B) Theright atrium (RA) is dilated with left atrial compression and right ventricular dysfunction. This is associated with dilated superior venacava (SVC) (C, D) and inferior vena cava (IVC) (E, F) (Ao, aorta; LA, left atrium; LPA, left pulmonary artery; LV, left ventricle; MPA,main pulmonary artery; RPA, right pulmonary artery; RV, right ventricle).this complex condition in patients with end-stage heartfailure. As new modalities in TEE imaging evolve,further diagnostic applications and refinements of this techniquein the management of mechanical circulatory supportwill likely emerge.REFERENCES1. Stevenson LW, Kormos RL. Mechanical Cardiac Support2000: Current applications and future trial design.J Thorac Cardiovasc Surg 2001; 121(3):418–424.2. Rose EA, Gelijns AC, Moskowitz AJ, Heitjan DF,Stevenson LW, Dembitsky W et al. Long-term mechanicalleft ventricular assistance for end-stage heart failure.N Engl J Med 2001; 345(20):1435–1443.3. Practice guidelines for perioperative transesophageal echocardiography.A report by the American Society ofAnesthesiologists and the Society of CardiovascularAnesthesiologists Task Force on Transesophageal Echocardiography.Anesthesiology 1996; 84(4):986–1006.4. Goldstein DJ, Oz MC, Rose EA. Implantable leftventricular assist devices. N Engl J Med 1998; 339(21):1522–1533.5. Scalia GM, McCarthy PM, Savage RM, Smedira NG,Thomas JD. Clinical utility of echocardiography in themanagement of implantable ventricular assist devices.J Am Soc Echocardiogr 2000; 13(8):754–763.6. Brack M, Olson JD, Pedersen WR, Goldenberg IF,Gobel FL, Pritzker MR et al. Transesophageal echocardiographyin patients with mechanical circulatory assistance.Ann Thorac Surg 1991; 52(6):1306–1309.7. Barzilai B, Davila-Roman VG, Eaton MH, Rosenbloom M,Spray TL, Wareing TH et al. Transesophageal