Intraoperative transesophageal echocardiography in diagnosing left atrial thrombosis in patients with mitral valve disease

Intraoperative transesophageal echocardiography was conducted in 63 patients with various cardiosurgical pathology (mitral stenosis--43, combined mitral valvular disease--3, mitral incompetence--10, combined mitral-aortal valvular disease--8). Thrombosis of the left atrium was diagnosed in 13 patien...

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Bibliographic Details
Published in:	Grudnaia i serdechno-sosudistaia khirurgiia no. 7-8; p. 30
Main Authors:	Konstantinov, B A, Rykunov, I E, Sandrikov, V A, Dzemeshkevich, S L
Format:	Journal Article
Language:	Russian
Published:	Russia (Federation) 1992
Subjects:	Adult Echocardiography - methods Esophagus Female Heart Atria - diagnostic imaging Heart Diseases - complications Heart Diseases - diagnostic imaging Heart Valve Diseases - complications Heart Valve Diseases - surgery Humans Intraoperative Care Male Middle Aged Mitral Valve - surgery Thrombosis - complications Thrombosis - diagnostic imaging
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Summary:	Intraoperative transesophageal echocardiography was conducted in 63 patients with various cardiosurgical pathology (mitral stenosis--43, combined mitral valvular disease--3, mitral incompetence--10, combined mitral-aortal valvular disease--8). Thrombosis of the left atrium was diagnosed in 13 patients. Transesophageal echocardiography in 38 patients revealed spontaneous echo-contrasting of blood currents in the cavity of the left atrium. Statistical analysis showed this sign to be characteristic of mitral stenosis complicated by thrombosis of the left atrium (p < 0.001). Transesophageal echocardiography allows visualization of thrombi of small diameter (1.0-1.5 cm). Specificity of the method is 100%, sensitivity 87%.
ISSN:	0236-2791