Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs
ABSTRACT Background Transesophageal echocardiography (TEE) is an indispensable modality in cardiac surgery; however, the complications associated with its use in veterinary clinical settings remain unclear. Hypothesis/Objectives To investigate the complications associated with TEE probe manipulation...
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| Format: | Article |
| Language: | English |
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Wiley
2025-03-01
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| Series: | Journal of Veterinary Internal Medicine |
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| Online Access: | https://doi.org/10.1111/jvim.70037 |
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| author | Kentaro Kurogochi Arane Takahashi Yasuyuki Nii Tomoya Suzuki Masashi Mizuno Masami Uechi |
| author_facet | Kentaro Kurogochi Arane Takahashi Yasuyuki Nii Tomoya Suzuki Masashi Mizuno Masami Uechi |
| author_sort | Kentaro Kurogochi |
| collection | DOAJ |
| description | ABSTRACT Background Transesophageal echocardiography (TEE) is an indispensable modality in cardiac surgery; however, the complications associated with its use in veterinary clinical settings remain unclear. Hypothesis/Objectives To investigate the complications associated with TEE probe manipulation during mitral valve repair in dogs and identify the risk factors for new mucosal injuries. Animals This prospective study evaluated 60 client‐owned dogs that underwent TEE to support mitral valve repair. Methods Esophageal endoscopy was performed twice—once after anesthesia induction and once before extubation—to assess esophageal mucosal injuries during the procedure. The type of injury was classified as ‘complex’ (intramural hematoma and mucosal laceration), ‘minor’ (petechiae and ecchymosis), or ‘minute’ (visible only on narrowband imaging) lesions. During the surgery, TEE was performed three times. Hemodynamics were evaluated before the initial TEE insertion and immediately after it was removed. Results Of the 60 dogs, newly detected mucosal lesions were observed in 20 dogs and classified as ‘minor’ in four and ‘minute’ in 16 dogs. These ‘minute’ lesions were not visible with conventional endoscopy, and no ‘complex’ lesions were identified. No significant factors were associated with the presence of mucosal lesions. After TEE insertion, systolic blood pressure decreased from 95 ± 13 mmHg to 92 ± 11 mmHg (p = 0.008), and heart rate decreased from 128 ± 25 bpm to 123 ± 24 bpm (p < 0.001). Conclusions and Clinical Importance Intraoperative TEE results in a low incidence of esophageal mucosal injuries. Hemodynamic changes could occur during TEE manipulation, underscoring the need for close monitoring. |
| format | Article |
| id | doaj-art-a79785afaf4740ae8aa320d3dc976dc2 |
| institution | OA Journals |
| issn | 0891-6640 1939-1676 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Veterinary Internal Medicine |
| spelling | doaj-art-a79785afaf4740ae8aa320d3dc976dc22025-08-20T02:14:23ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762025-03-01392n/an/a10.1111/jvim.70037Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in DogsKentaro Kurogochi0Arane Takahashi1Yasuyuki Nii2Tomoya Suzuki3Masashi Mizuno4Masami Uechi5JASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanJASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanJASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanJASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanJASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanJASMINE Veterinary Cardiovascular Medical Center Yokohama Kanagawa JapanABSTRACT Background Transesophageal echocardiography (TEE) is an indispensable modality in cardiac surgery; however, the complications associated with its use in veterinary clinical settings remain unclear. Hypothesis/Objectives To investigate the complications associated with TEE probe manipulation during mitral valve repair in dogs and identify the risk factors for new mucosal injuries. Animals This prospective study evaluated 60 client‐owned dogs that underwent TEE to support mitral valve repair. Methods Esophageal endoscopy was performed twice—once after anesthesia induction and once before extubation—to assess esophageal mucosal injuries during the procedure. The type of injury was classified as ‘complex’ (intramural hematoma and mucosal laceration), ‘minor’ (petechiae and ecchymosis), or ‘minute’ (visible only on narrowband imaging) lesions. During the surgery, TEE was performed three times. Hemodynamics were evaluated before the initial TEE insertion and immediately after it was removed. Results Of the 60 dogs, newly detected mucosal lesions were observed in 20 dogs and classified as ‘minor’ in four and ‘minute’ in 16 dogs. These ‘minute’ lesions were not visible with conventional endoscopy, and no ‘complex’ lesions were identified. No significant factors were associated with the presence of mucosal lesions. After TEE insertion, systolic blood pressure decreased from 95 ± 13 mmHg to 92 ± 11 mmHg (p = 0.008), and heart rate decreased from 128 ± 25 bpm to 123 ± 24 bpm (p < 0.001). Conclusions and Clinical Importance Intraoperative TEE results in a low incidence of esophageal mucosal injuries. Hemodynamic changes could occur during TEE manipulation, underscoring the need for close monitoring.https://doi.org/10.1111/jvim.70037dogmitral valve plastymucosal lesionmyxomatous mitral valve diseasenarrowband imaging |
| spellingShingle | Kentaro Kurogochi Arane Takahashi Yasuyuki Nii Tomoya Suzuki Masashi Mizuno Masami Uechi Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs Journal of Veterinary Internal Medicine dog mitral valve plasty mucosal lesion myxomatous mitral valve disease narrowband imaging |
| title | Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs |
| title_full | Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs |
| title_fullStr | Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs |
| title_full_unstemmed | Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs |
| title_short | Transesophageal Echocardiography‐Related Complications During Mitral Valve Repair in Dogs |
| title_sort | transesophageal echocardiography related complications during mitral valve repair in dogs |
| topic | dog mitral valve plasty mucosal lesion myxomatous mitral valve disease narrowband imaging |
| url | https://doi.org/10.1111/jvim.70037 |
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