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The Epiaortic Ultrasound Diagnosis of Iatrogenic Subadventitial Hematoma.
Moeller, Shaun C; Serbanescu, Mara A; Abernathy, James H; Kostibas, Megan P; Lawton, Jennifer S; Cha, Stephanie L.
Afiliação
  • Moeller SC; From the Department of Anesthesiology and Critical Care Medicine.
  • Serbanescu MA; From the Department of Anesthesiology and Critical Care Medicine.
  • Abernathy JH; From the Department of Anesthesiology and Critical Care Medicine.
  • Kostibas MP; From the Department of Anesthesiology and Critical Care Medicine.
  • Lawton JS; Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland.
  • Cha SL; From the Department of Anesthesiology and Critical Care Medicine.
A A Pract ; 14(13): e01333, 2020 Nov.
Article em En | MEDLINE | ID: mdl-33185407
Iatrogenic aortic injury is a rare but potentially lethal complication of cardiac surgery. While sometimes resulting in aortic dissection or intramural hematoma, injury more frequently results in subadventitial hematoma, a more benign pathology. Here, we describe a case where intraoperative transesophageal echocardiography (TEE) identified such a hematoma but was unable to rule out dissection. Epiaortic ultrasound was subsequently performed, which definitively demonstrated the absence of a dissection flap or extraluminal flow. Per our review, this is the first report documenting the successful use of epiaortic imaging to identify subadventitial hematoma in the setting of inconclusive TEE findings.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças da Aorta / Dissecção Aórtica Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças da Aorta / Dissecção Aórtica Idioma: En Ano de publicação: 2020 Tipo de documento: Article