Journal article
Diagnostic challenges with transesophageal echocardiography for intraoperative iatrogenic aortic dissection: Role of epiaortic ultrasound
Annals of cardiac anaesthesia, Vol.24(1), pp.83-86
01/01/2021
DOI: 10.4103/aca.ACA_4_19
PMCID: PMC8081137
PMID: 33938839
Abstract
Iatrogenic aortic dissection is a rare and serious complication of cardiac surgery with an incidence between 0.12% and 0.16%. Dissections involving an intimal flap can be detected using trans-esophageal echocardiography (TEE) with a sensitivity of 94%–100% and specificity of 77%–100%. Rarely, dissections can occur that are not detectable by TEE. There have been reports of iatrogenic dissection in the ascending aortic cannulation site; however, a dissection at the antegrade cardioplegia cannulation site is very rare. It also presents challenges associated with early diagnosis and appropriate intervention. We are describing a rare case of aortic dissection at the antegrade cardioplegia cannulation site in the proximal ascending aorta. The dissection was unable to be visualized with TEE initially, and required epi-aortic ultrasound to diagnose dissection in timely manner.
Details
- Title: Subtitle
- Diagnostic challenges with transesophageal echocardiography for intraoperative iatrogenic aortic dissection: Role of epiaortic ultrasound
- Creators
- Daniel Rhoades - University of Iowa Hospitals and ClinicsSudhakar Subramani - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Annals of cardiac anaesthesia, Vol.24(1), pp.83-86
- DOI
- 10.4103/aca.ACA_4_19
- PMID
- 33938839
- PMCID
- PMC8081137
- NLM abbreviation
- Ann Card Anaesth
- ISSN
- 0971-9784
- eISSN
- 0974-5181
- Publisher
- Wolters Kluwer - Medknow
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Anesthesia
- Record Identifier
- 9984296146202771
Metrics
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