Assuntos
Aneurisma Aórtico , Insuficiência da Valva Aórtica , Doença Aguda , Dissecção Aórtica , HumanosAssuntos
Dissecção Aórtica/diagnóstico por imagem , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Átrios do Coração/diagnóstico por imagem , Complicações Pós-Operatórias/diagnóstico por imagem , Idoso de 80 Anos ou mais , Dissecção Aórtica/etiologia , Aorta/diagnóstico por imagem , Aorta/cirurgia , Aneurisma Aórtico/diagnóstico por imagem , Aneurisma Aórtico/cirurgia , Feminino , Humanos , Complicações Pós-Operatórias/etiologiaRESUMO
We present a case of severe systolic anterior motion developing intraoperatively after aortic valve replacement for aortic valve stenosis.
RESUMO
We performed a retrospective chart review to investigate a potential relation between pulmonary artery (PA) diameter as measured by intraoperative transesophageal echocardiography and PA pressures measured by PA catheter with the aim of determining whether main PA diameter can aid clinicians in the diagnosis of PA hypertension. A total of 82 adult patients undergoing cardiac surgery were included in our study. Main PA diameter showed a moderate correlation with systolic and diastolic pressures, r = 0.576 (95% confidence interval [CI], 0.407-0.703), P < 0.001, and r = 0.504 (95% CI, 0.319-0.648), P < 0.001, respectively. The authors believe that although a moderate correlation exists between main PA diameter and PA pressure, confounding hemodynamic variables prevent main PA diameter from being an accurate and reliable means of diagnosing PA hypertension.