title: Acute ascending aortic intramural hematoma as a complication of the endovascular repair of a Type B aortic dissection.
abstract: Endovascular aortic graft repair (EVAR) for patients with Type B aortic dissection is a less invasive surgical procedure (compared to traditional open surgical repair) that is associated with less morbidity and shortened recovery times. However, there are notable complications for the patients undergoing EVAR. We report a patient who was brought to our hospital with a Type B dissection and underwent a thoracic EVAR but suffered iatrogenic aortic injury resulting in cardiac tamponade. This case study highlights the importance of intraoperative transesophageal echocardiography to facilitate early detection of possible EVAR complications.
authors.affiliation: Department of Anesthesiology and Pain Medicine, Harbor-UCLA Medical Center, Los Angeles, 1000 West Carson St., Box # 10, Torrance, CA 90502, USA. ckakazu@hotmail.com
authors.forename: Clinton
authors.initials: C
authors.lastname: Kakazu
authors.forename: Jermaine
authors.initials: J
authors.lastname: Augustus
authors.forename: Christian
authors.initials: C
authors.lastname: Paullin
authors.forename: Inderjeet S
authors.initials: IS
authors.lastname: Julka
authors.forename: Rodney A
authors.initials: RA
authors.lastname: White
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D001011:Aorta; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology; D017548:Echocardiography, Transesophageal; D017809:Fatal Outcome; D006323:Heart Arrest / Q000209:etiology; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D007431:Intraoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology*; D008297:Male; D016343:Monitoring, Intraoperative; D010490:Pericardial Effusion; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous