In TEE Time Episode 21, we discuss properly evaluating aortic regurgitation (AR) using TEE and how findings affect perioperative care for aortic valve repair/replacement. Building on part one, the video reviews the TEE view sequence (ME AV SAX/LAX, ME ascending aorta LAX, deep TG 5-chamber or TG LAX, ME descending aorta LAX) and the six valve-evaluation categories: clinical information, 2D echo, Doppler, quantitative parameters, 3D echo, and other echo data, remembered with the “C2-DQ-3DO” mnemonic. It covers hemodynamic effects (BP/HR), leaflet anatomy/quality/function, coaptation length, annulus/LVOT/aortic measurements and surgical thresholds, bicuspid valve classification and implications, Doppler criteria (vena contracta, jet width, pressure half-time, flow reversal), limitations of PISA/stroke-volume methods, 3D vena contracta area for EROA, and assessment of MV/LV/aorta and associated bicuspid findings, emphasizing mechanism, location, and severity using ASE 2017 guidance.
- 00:00 AR TEE Overview
- 01:13 Six Pillars Framework
- 02:05 Valve Robot Mnemonic
- 03:06 Clinical Context First
- 03:59 2D Valve Anatomy
- 06:32 Annulus And Aorta Measures
- 09:31 Bicuspid Valve Classification
- 11:19 Color Doppler Clues
- 13:32 Spectral Doppler Metrics
- 15:15 Flow Reversal In Aorta
- 17:00 Quant Methods Limits
- 17:47 3D Vena Contracta Area
- 19:02 Other Cardiac Data
- 21:26 Key Takeaways Wrap Up
- 22:29 Next Episode And Thanks
#TEE #Echocardiography #Anesthesia #Cardiology #CriticalCare #EmergencyMedicine #Sonographer #CardiacSurgery #FOAMed #POCUS #Ultrasound #Anesthesiology #Perioperative #CardiacAnesthesia #AnesthesiaPodcast #Anesthesiology #Echo #Surgery #AdvancedTEE #PerioperativeTEE #TTE #Sonography #PulmCrit #TEETime #RescueTEE #TransesophagealEchocardiography #CVICU #ICU #ASE360
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