Transesophageal echocardiographic identification of a retrograde dissection of the ascending aorta caused by inadvertent cannulation of the common carotid artery.
Retrograde aortic dissections can be a complication of vascular procedures. We describe a case of an inadvertent cannulation of the right common carotid artery during an attempt at inserting a pulmonary artery catheter. This resulted in dissection of the right common carotid, subclavian, and innominate arteries. Transesophageal echocardiography was able to visualize a retrograde dissection extending back into the ascending aorta.
Applebaum
R M
RM
Department of Medicine, New York University School of Medicine, NY, USA.
Adelman
M A
MA
Kanschuger
M S
MS
Jacobowitz
G
G
Kronzon
I
I
D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000209:etiology; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D001164:Arteriovenous Fistula / Q000000981:diagnostic imaging / Q000209:etiology; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000293:injuries; D002340:Carotid Artery Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D020212:Carotid Artery Injuries; D002407:Catheterization, Swan-Ganz / Q000009:adverse effects* / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007601:Jugular Veins / Q000000981:diagnostic imaging / Q000293:injuries; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000293:injuries