[Perioperative myocardial ischemia diagnosed by transesophageal echocardiography during replacement of the ascending aorta].
A 70-year-old woman was admitted to our hospital because of an aneurysm of the ascending aorta. The patient underwent replacement of the ascending aorta with an interposition graft under cardiopulmonary bypass. IntRaoperative transesophageal echocardiographic examination showed regional wall motion abnormality of the inferior and inferior septum segments. Emergency coronary artery bypass graft surgery was performed. Post-operative coronary angiography revealed mechanical compression of the right coronary artery due to the surgical procedure. Transesophageal echocardiographic examination is useful for evaluation of myocardial ischemia during surgical repair of aortic aneurysms.
Edanaga
Mitsutaka
M
Department of Anesthesiology, Sapporo Medical University School of Medicine, Sapporo 060-8543.
Fujimura
Naoyuki
N
Niiyama
Yukitoshi
Y
Namiki
Akiyoshi
A
D000368:Aged; D001011:Aorta / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D001026:Coronary Artery Bypass; D017548:Echocardiography, Transesophageal; D004630:Emergencies; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging* / Q000601:surgery; D017202:Myocardial Ischemia / Q000000981:diagnostic imaging* / Q000601:surgery