Journal article
Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery
Curēus (Palo Alto, CA), Vol.15(11), e48105
11/01/2023
DOI: 10.7759/cureus.48105
PMCID: PMC10690072
PMID: 38046715
Abstract
We present a case in which intraoperative transesophageal echocardiography (TEE) helped detect intraabdominal bleeding, a rare complication in cardiac surgery. A patient undergoing ascending aortic aneurysm and aortic valve repair had increasing vasopressor and transfusion requirement during sternal closure with TEE imaging revealing a nonspecific, hypoechoic fluid-like collection anterior to the stomach. Discussion between the anesthesiology and surgical teams prompted further investigation including a diagnostic laparoscopy which confirmed the presence of intraabdominal bleeding. Hemostasis was later achieved after identifying the source of bleeding from a pre-peritoneal vein and associated peritoneal defect adjacent to a mediastinal chest tube placed earlier in the operation.
Details
- Title: Subtitle
- Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery
- Creators
- Asad MansoorArun K SinghalSatoshi Hanada
- Resource Type
- Journal article
- Publication Details
- Curēus (Palo Alto, CA), Vol.15(11), e48105
- DOI
- 10.7759/cureus.48105
- PMID
- 38046715
- PMCID
- PMC10690072
- NLM abbreviation
- Cureus
- ISSN
- 2168-8184
- eISSN
- 2168-8184
- Language
- English
- Date published
- 11/01/2023
- Academic Unit
- Anesthesia; Cardiothoracic Surgery
- Record Identifier
- 9984507023402771
Metrics
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