Author/Authors :
Babaei, Tooraj Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran , Jahangiri Fard, Alireza Lung Transplantation Research Center - National Research Institute of Tuberculosis and Lung Diseases (NRITLD) - Shahid Beheshti University of Medical Sciences, Tehran , Ghadrdoost, Behshid Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran , Bakhshandeh, Hooman Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran , Ziyaeifard, Mohsen Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran , Alavi, Mostafa Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran
Abstract :
Objectives: The current study tries to assess the causative factors of dysphagia and omit them to find the exact contribution of TEE
for this symptom among patients who suffer from elective open cardiac surgery in different age ranges in both sexes.
Methods: In this observational study, 100 patients between 30-80 years of age with ASA < III and EF > 40% who were candidate
for elective open cardiac surgery in a referral hospital in Tehran in 2011 were recruited. The patients were divided into two groups
based on TEE performance; patients who needed to perform TEE based on medical indication were considered the case group and
the other patients who did not have indication for TEE, formed the control group.
Results: Total frequency of dysphagia was 13% in all patients disregarding TEE performance while 6 (12%) and 7 (14%) of controls
and cases showed this symptom respectively. Odynophagia was the other symptom to be assessed for its frequency in this study
and showed 13% total frequency considering all participants disregarding the groups. This symptom was reported exactly similar
to dysphagia which was 6 (12%) in controls and 7 (14%) in cases. The participants’ gender was not effective on the distribution of
dysphagia where 6 (11.3%) females and 7 (14.9%) males were involved with no significant difference.
Conclusions: Intraoperative trans-esophageal echocardiography during cardiac surgeries has greater usefulness than complications and is worth using in this case as well.
Keywords :
Transesophageal Echocardiography , Open Cardiac Surgery , Dysphagia , Odynophagia