title: Intraoperative Epiaortic Ultrasound for Traumatic Pseudoaneurysm of the Ascending Aorta.
abstract: Epiaortic ultrasound is an imaging modality that is commonly used to evaluate the ascending aorta for atheroma and other mural lesions during elective cardiac surgery. Its use in contained aortic rupture has not been established. We present a case of thoracic trauma with contained pseudoaneurysm of the ascending aorta. At operation, the precise location of the aortic tear could not be identified by visual inspection, manual palpation, or transesophageal echocardiography. Epiaortic ultrasound was employed and the aortic defect was identified and successfully repaired. This intraoperative imaging modality may play an increasing role in the identification of aortic pathology when visual inspection and other intraoperative imaging is insufficient.
authors.affiliation: Department of Anesthesia, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Michelle
authors.initials: M
authors.lastname: Eddins
authors.affiliation: Department of Anesthesia, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Marco
authors.initials: M
authors.lastname: Aguirre
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Price
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Michael
authors.initials: M
authors.lastname: Wait
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
authors.forename: Pietro
authors.initials: P
authors.lastname: Bajona
keywords: Epiaortic; Pseudoaneurysm; Trauma; Ultrasound