Diagnostic challenges with transesophageal echocardiography for intraoperative iatrogenic aortic dissection: Role of epiaortic ultrasound.
Antegrade cannula
aortic dissection
epi-aortic ultrasound
Journal
Annals of cardiac anaesthesia
ISSN: 0974-5181
Titre abrégé: Ann Card Anaesth
Pays: India
ID NLM: 9815987
Informations de publication
Date de publication:
Historique:
entrez:
3
5
2021
pubmed:
4
5
2021
medline:
25
11
2021
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 33938839
pii: AnnCardAnaesth_2021_24_1_83_307764
doi: 10.4103/aca.ACA_4_19
pmc: PMC8081137
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
83-86Déclaration de conflit d'intérêts
None
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