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TEE image acquisition was supervised by an anesthesiologist board certified in advanced perioperative TEE and, for consistency, all of the left atrial volumetric analyses were performed by one researcher.
a TEE image after THV deployment showing normal RV size (RV Dd/Ds = 33.0/26.4 mm).
b TEE image collected 2 min after protamine administration demonstrating RV dilatation (yellow arrow) (RV Dd/Ds = 37.4/34.6 mm) and left ventricular (LV Dd/Ds = 46.0/36.6 mm) volume reduction.
However, comparison of the TEE image obtained before protamine administration and that obtained 2 min after protamine administration showed right ventricular (RV) dilatation, RV free wall motion abnormality, and LV volume reduction, without any electrocardiographic changes.
c TEE image after 1 min of chest compressions (approximately 5 min after protamine administration) demonstrating that the RV and LV size and wall motion had returned to baseline (RV Dd/Ds = 30.9/25.4 mm, LV Dd/Ds = 57.2/49.4 mm).
This technology, which co-registers the TEE probe position with the intervention table and the angulation of the fluoroscopy C-arm, allows for relatively accurate placement of the TEE image onto the fluoroscopic image.
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The TEE images, in this case, should be a reminder for all doctors who perform intraoperative TEE for patient monitoring when they perform procedures to treat structural heart diseases.
TEE images can be used to assess these major complications immediately [4].
For anatomical correlations of RT 3D TEE images, selected images of right atrial structures were matched to anatomical specimens.
The TEE images, in this case, were able to capture this pathognomonic biventricular failure, which helped us with the diagnosis.
In a clinical scenario, its application could allow the quantitative assessment of aortic plaque burden in the descending thoracic aorta from 3-D TEE images.
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