Direct epiaortic ultrasound scanning for the rapid confirmation of intraoperative aortic dissection.
We present a case of an intraoperative acute aortic type A dissection (AADA) extending from the distal ascending aorta to the distal aortic arch, initially not visible on the transesophageal echocardiography (TEE). The rapid confirmation of the diagnosis by means of direct epiaortic ultrasound scanning facilitated decision-making and the subsequent successful surgical treatment.
Demertzis
Stefanos
S
Department of Cardiac Surgery, Cardiocentro Ticino, CH-6900 Lugano, Switzerland. demertzis@cardiocentro.org
Casso
Gabriele
G
Torre
Tiziano
T
Siclari
Francesco
F
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000601:surgery; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging* / Q000601:surgery; D019917:Blood Vessel Prosthesis Implantation; D017548:Echocardiography, Transesophageal; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging* / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D018084:Ultrasonography, Interventional