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September 2017 A&A Video Summary

Video Author: Jeanette Esau
Published on: 08.17.2017
Associated with: September 2017, Volume 125, Issue 3;

Video summary of featured articles in Anesthesia & Analgesia for September 2017.

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Creator: Diana Zakarkaite
Duration: 0:19
Identification of the left ventricular access site with a finger. Midesophageal 2D TEE long-axis view at 130° (the indentation is on the left of the image sector, shown by arrow) and 3D TEE zoom-mode acquisition of the entry site (shown by asterisk).
Creator: Diana Zakarkaite
Duration: 0:09
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
Creator: Diana Zakarkaite
Duration: 0:21
Mitral valve P2 segment prolapse (Live 3D zoom MV “surgeon’s” view). The jaws of the device are opened in the left atrium, and the prolapsing P2 segment is captured.
Creator: Diana Zakarkaite
Duration: 0:09
The anatomical result of the MV P2 segment repair was evaluated by placing the NeoChordae under tension and observing disappearance or reduction of the prolapse (Live 3D zoom MV “surgeon’s” view)
Creator: Diana Zakarkaite
Duration: 0:08
Midesophageal 2D TEE long axis view at 120–130° with color Doppler was used to evaluate reduction of the MR after successful NeoChordae implantation on P2 scallop and placing them under tension. MR reoccurs after releasing the NeoChordae.
Creator: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for March 2018.
Creator: Jeanette Esau
Duration: 2:35
Video summary of featured articles in Anesthesia & Analgesia for February 2018.
Creator: Jeanette Esau
Duration: 02:09
Video summary of featured articles in Anesthesia & Analgesia for January 2018.
Creator: Roy Kiberenge
Duration: 0:55
Video of ultrasound-guided dynamic needle tip positioning technique with synchronized live ultrasound view. The arterial puncture and the sequential advancement of the catheter and needle is shown with the corresponding ultrasound image.
Creator: Jeanette Esau
Duration: 1:56
Video summary of featured articles in Anesthesia & Analgesia for December 2017.
Creator: Jeanette Esau
Duration:
Video summary of featured articles in Anesthesia & Analgesia for November 2017.
Creator: Massimiliano Meineri, MD
Duration: 1:16
A ME long axis view and a ME four chamber view are selected and analyzed using the Cardiac Motion Quantification (CMQ) analysis software package. First the aortic valve closure is identified and aortic valve closure time set. The ME four chamber is then selected and the LV long axis strain model is applied to the RV to allow correct labeling of septal segments. Tracking is qualitatively assessed and manually adjusted to capture the myocardium. The RV is divided into seven segments and the global strain is measured at – 29.8% with regional peak variability with all segments within limits of normal. RV Septum is de-selected to obtain RV free wall strain that is measured at -31.4%.
Creator: Massimiliano Meineri, MD
Duration: 1:15
The ME four chamber view is analyzed using the Automated Function Imaging (AFI) software package. The LV long axis strain model is applied to the RV to allow correct labeling of septal segments. Tracking quality is automatically assessed for each segment (green: good or red: poor). Parametric display provides measurements for each of the six RV and global strain. The latter is normal at – 22.3% with regional peak variability with basal segments below normal limits. RV myocardial region of interest is redefined and the septum de-selected to obtain RV free wall strain that is measured at approximately -22%
Creator: Massimiliano Meineri, MD
Duration: 0:48
A ME long axis view and a ME four chamber view are selected and analyzed using the Velocity Vector Imaging (VVI) software package. First the aortic valve and mitral valve closures are identified using anatomical M Mode on a static 2D image. The ME four chamber is then selected, the RV strain model is applied and the endocardium traced excluding trabeculations and the moderator band. Tracking is qualitatively assessed. Parametric display provides measurements for each of the six RV, global strain and quantification of RV apical rocking. The latter is a measurement of apical myocardial transverse motion and it is increased with dyssynchrony. Peak global strain is normal and measures -29.5%. Regional peak variability can be appreciated with the mid septal segment being the only one below normal limits. The septum de-selected to obtain global RV free wall strain that is negative 36.
Creator: Jeanette Esau
Duration: 2:16
Video summary of featured articles in Anesthesia & Analgesia for October 2017.
Creator: Dr Neelam Aggarwal
Duration: 00:18
ME RV inflow-outflow view is shown in the initial part followed by modified transgastric RV inflow view. CFD shows diastolic aliasing below the pulmonic annulus and systolic aliasing at the level of the stenotic RVOT.
Creator: Dr Neelam Aggarwal
Duration: 00:24
A thin rim of valve tissue is seen at pulmonic annulus in modified ME RV inflow-outflow view (sector angle at 800) and modified ME aortic valve long-axis view (sector angle at 1150)
Creator: Dr Neelam Aggarwal
Duration: 00:13
A 3D en-face of absent PV obtained from upper-esophageal aortic arch short-axis view. In the initial part, the image is cropped from PA side and rotated clockwise to bring aortic arch on right side of the screen. The later part of clip shows the image cropped from RV side.
Creator: Quick time
Duration: 00:10
ME views showing the anomalous RPA from aorta and MPA branching anatomy
Creator: Quick time
Duration: 00:08
UE views showing the PDA and LPA



Creator: Jeanette Esau
Duration: 1:47
Video summary of featured articles in Anesthesia & Analgesia for March 2018.
Creator: Jeanette Esau
Duration: 2:35
Video summary of featured articles in Anesthesia & Analgesia for February 2018.