7. TEE for Coronary Artery Bypass Graft (CABG) Surgery - Part 2

Episode 7: TEE for CABG Surgery -  Part 2: Valvular Disorders, Post-MI Complications, and other findings in CABG Surgery

 

In this episode of TEE Time, host Dr. Andreas Plackis discusses the importance of transesophageal echocardiography (TEE) during coronary artery bypass graft (CABG) surgery, focusing on valvular assessment and post-myocardial infarction (MI) mechanical complications. Dr. Plackis examines moderate valvular disorders such as aortic stenosis, aortic regurgitation, and secondary mitral regurgitation, referencing the latest guidelines from the ACC/AHA and European societies. He also dives into the significance of post-MI complications like ventricular septal defects, LV free wall rupture, and papillary muscle rupture. The episode concludes with a summary of key points for performing TEE effectively during CABG and a preview of the upcoming valve series.

 

00:00 Introduction to TEE for CABG Surgery

01:10 Valvular Assessment During CABG

02:13 Moderate Aortic Stenosis and Regurgitation

03:09 Mitral Regurgitation: Secondary and Ischemic

05:35 Guidelines and Decision-Making for MR

10:05 Additional Valvular and Aortic Considerations

11:45 Post-MI Mechanical Complications

14:49 Conclusion and Upcoming Series

 

Keywords: TEE, CABG, valvular assessment, aortic stenosis, myocardial infarction, mechanical complications, cardiac surgery, LV function, heart disease, wall motion, ischemic changes, dual intervention, patient comorbidities, AVR, ACC/AHA guidelines, European guidelines

 

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