Background: TEE was introduced first time in 1976.Currently, this method is applied more and more to make exactly the diagnosis of difficult cases,providing the important information prior to performing catheter intervention.
Patients & Methods:
1-Pts with TEE at Medic HCM since October 1995
2- Instrument:TOSHIBA SSH- 140, 5 MHz multi-plane
3-Case serries report study
Results: From 1995 to 2008, in MEDIC HCM, we have already performed 2367 cases of TEE: Mitral stenosis ( 32% ) and other valvulopathies, ASD( 17% )and other shunts, then Aortic dissection, Myxoma, Primitive pulmonary hypertension, prosthetic valves. The most complicated cardiopathies:Double oulet RV, Coronary fistula, Valsalva sinus rupture.
The percutaneous balloon mitral valvuloplasty, transcatheter closure by umbrella and surgery have demonstrated the precise diagnosis of TEE.
Conclusions:
TEE providing better cardiac anatomy in case of poor TTE
Indispensable prior to performing mitral commissurotomy, transcatheter closure of ASD, ablation of AF
Detecting the special forms of CHD
Studying prosthetic heart valve dysfunction
Evaluating the severity of infective endocarditis
Visualizing the intima tear site of aortic dissection, attachment of myxoma.