Echo Rounds
Anesthesia & Analgesia: Volume 107, Issue 3, Page 791.
"Transesophageal Echocardiography in a Patient in Hemodynamic Compromise After Jarvik 2000 TM Implantation: The Suckdown Effect" by Mauermann et al.
Data Files:
- Video Clip 1
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A mid-esophageal four chamber view of the left ventricle alternating between ante-flexion and retro-flexion. Not the Jarvik 2000TM (large arrow) appears at the apex of the left ventricle. The left ventricle is underfilled and the ventricular septum bows from right to left (small arrow). In addition, myocardium can be seen contacting the inflow to the device, leading to obstruction.
- Video Clip 2
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After volume resuscitation and a transient decrease in pump speed, the left ventricle is now adequately filled. The device (large arrow) is well positioned at the apex of the left ventricle and in alignment with the mitral valve orifice. There is no myocardium contacting the device and septum (small arrow) is now in a neutral position.
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