Use of transesophageal echocardiography in the diagnosis of acute aortic dissection following thoracoabdominal aortic aneurysm surgery

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  • Rokkaku Yuki
    Department of Anesthesiology, Funabashi Municipal Medical Center
  • Noguchi Chisato
    Department of Anesthesiology, Funabashi Municipal Medical Center
  • Isomine Shinji
    Department of Anesthesiology, Funabashi Municipal Medical Center

Bibliographic Information

Other Title
  • 胸腹部大動脈瘤術後の急性大動脈解離の診断に経食道心エコー検査が有用であった一例
  • 症例報告 胸腹部大動脈瘤術後の急性大動脈解離の診断に経食道心エコー検査が有用であった一例
  • ショウレイ ホウコク キョウ フクブ ダイ ドウミャクリュウ ジュツゴ ノ キュウセイ ダイドウミャク カイリ ノ シンダン ニ ケイ ショクドウシン エコー ケンサ ガ ユウヨウ デ アッタ イチレイ

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Description

<p>　A 60-year-old woman diagnosed with thoracoabdominal aortic aneurysm underwent reconstruction of all visceral arteries and of the right internal iliac artery under cardiopulmonary bypass and Y-shaped graft replacement. The intraoperative course was uneventful. Upon admission to the intensive care unit immediately after surgery, the patient had a pulseless electrical activity due to a drastic decrease in blood pressure. Her blood pressure was restored after the initiation of chest compression and with adrenaline intravenous infusion. Accumulation of pericardial effusion and dissection from the ascending to the descending aorta was found on transesophageal echocardiography. After retrograde dissection was discovered, the patient was immediately taken back to the operating room, where aortic arch replacement was performed. Transesophageal echocardiography was an effective diagnostic tool for postoperative hemodynamic instability.</p>

Journal

  • Cardiovascular Anesthesia

    Cardiovascular Anesthesia 21 (1), 101-104, 2017

    Japanese Society of Cardiovascular Anesthesiologists

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