Intraoperative Transesophageal Echocardiography in Management of Acute Type I Aortic Dissection With Malperfusion: A Case Report

ABSTRACT Acute type I aortic dissection is a life-threatening emergency with potentially devastating complications, including end-organ malperfusion. Early detection of malperfusion with intraoperative imaging allows for efficient transition to appropriate interventions. We present a case of a 65-ye...

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Veröffentlicht in:Military medicine 2022-03, Vol.187 (3-4), p.e543-e546
Hauptverfasser: Beyrau, Kaitlin E, Finne, Huckelberry A, Wilson, Sara M, Gibson, Steven L, Koelling, Erin E, Hudson, Arlene J
Format: Artikel
Sprache:eng
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Zusammenfassung:ABSTRACT Acute type I aortic dissection is a life-threatening emergency with potentially devastating complications, including end-organ malperfusion. Early detection of malperfusion with intraoperative imaging allows for efficient transition to appropriate interventions. We present a case of a 65-year-old male with acute type I aortic dissection who underwent emergent surgical repair of the aortic root and hemiarch followed by acutely worsening distal malperfusion. The use of intraoperative transesophageal echocardiography played a critical role in visualizing diversion of flow to the false lumen, prompting urgent vascular surgery consultation and life-saving thoracic endovascular aortic repair.
ISSN:0026-4075
1930-613X
DOI:10.1093/milmed/usab026