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Transesophageal echocardiography and cardiovascular sources of embolism: implications for perioperative management [review]

Tan, C. N. and Fraser, Alan Gordon 2007. Transesophageal echocardiography and cardiovascular sources of embolism: implications for perioperative management [review]. Anesthesiology -Philadelphia then Hagerstown- 107 (2) , pp. 333-346. 10.1097/01.anes.0000270733.26234.56

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Abstract

Transesophageal echocardiography has become an invaluable investigation in patients with cardioembolic events because of its high sensitivity and specificity for defining detailed structure and function of the cardiovascular system. Patients who receive anesthesia and critical care may be at risk of systemic embolism from various cardiovascular sources. The main factors associated with embolism include intracardiac lesions such as thrombi, vegetations, and tumors; cardiac anomalies; and vascular disease, e.g., aortic atheroma. In this review article, the authors describe how transesophageal echocardiography may be used to identify various cardiovascular sources of embolism, provide risk stratification, influence medical therapy, and refine clinical decision making in patients receiving critical care and anesthesia. With these improvements, it is hoped that better patient outcomes may be achieved in the perioperative period.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Subjects: R Medicine > R Medicine (General)
R Medicine > RZ Other systems of medicine
Publisher: Lippincott, Williams & Wilkins
ISSN: 0003-3022
Last Modified: 04 Jun 2017 07:53
URI: http://orca-mwe.cf.ac.uk/id/eprint/69259

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