Peran Peran Pemeriksaan Transthorachic Echocardiography Pada Evaluasi Pasien Post Coronary Artery Bypass Graft
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Operasi bedah pintas arteri koroner merupakan prosedur operasi bedah yang bertujuan mengembalikan aliran darah ke miokardium yang mengalami penyumbatan atau aterosklerosis. Setelah CABG pasien dapat mengalami perdarahan, nyeri, infeksi dari luka operasi, dan infark peri-operatif yang mengakibatkan terjadinya penurunan fungsi jantung. Sehingga dengan begitu evaluasi kepada pasien diperlukan untuk melihat tingkat keberhasilan dan efek dari prosedur CABG. Evaluasi pada pasien setelah operasi CABG dilakukan dengan transtorakal ekhokardiografi (TTE) menggunakan modalitas 2D dan mode gerak. Keduanya dapat menghasilkan nilai dari fraksi ejeksi ventrikel kiri, gerak dinding regional miokardium, dimensi ruang-ruang jantung dan juga penilaian hemodinamik. Pemeriksaan TTE juga bertujuan untuk mengetahui ada atau tidaknya efek samping dari operasi tersebut (efusi perikardium, penurunan curah
jantung). Pemeriksaan TTE pada pasien setelah operasi CABG bertujuan untuk mengetahui tingkat keberhasilan pada operasi, terutama untuk mengetahui ada atau tidaknya perubahan yang signifikan dari fungsi jantung (fraksi ejeksi ventrikel kiri, gerak dinding regional miokardium, dimensi ruang-ruang jantung,
dan curah jantung).
Kata Kunci: 2D, bedah pintas arteri koroner, fungsi jantung, mode gerak, transtorakal ekhokardiografi
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