Aortic dissection after mitral valve replacement: the role of intraoperative echocardiography in this diagnosis

José Mateus Costa; Fábio de Vasconcelos Papa; Kamila Fernanda Staszko

doi:10.1016/j.bjane.2018.10.003

Clinical Information

Aortic dissection after mitral valve replacement: the role of intraoperative echocardiography in this diagnosis

Dissecção de aorta pós-troca valvar mitral: o papel da ecocardiografia intraoperatória no diagnóstico

José Mateus Costa; Fábio de Vasconcelos Papa; Kamila Fernanda Staszko

http://dx.doi.org/10.1016/j.bjane.2018.10.003 Braz J Anesthesiol, vol.69, n2, p.197-199, 2019

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Abstract

Abstract According to the most recent guidelines, the use of intraoperative transesophageal echocardiography in valvular surgeries is well established, as well as its use in the diagnosis, management, and rescue of perioperative complications. The aim of this case report is to illustrate a condition in which its intraoperative use had a positive influence on the outcome.

Keywords

Intraoperative echocardiography, Aortic dissection, Mitral valve replacement

Resumo

Resumo O uso da ecocardiografia transesofágica no intraoperatório em cirurgias valvulares é bem estabelecido de acordo com os guidelines mais recentes, assim como o seu uso no diagnóstico, manuseio e resgate de complicações perioperatórias. O objetivo deste relato de caso é ilustrar uma situação em que o seu uso no intraoperatório influenciou de maneira positiva o seu desfecho.

Palavras-chave

Ecocardiografia intraoperatória, Dissecção de aorta, Troca valvar mitral

References

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Hahn RT, Abraham T, Adams MS. Guidelines for performing a comprehensive transesophageal echocardiographic examination: recommendation from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists. J Am Soc Echocardiogr. 2013;26:921-64.

Pamnani A, Skubas NJ, Adams MS. Imaging artifacts during transesophageal echocardiography. Anesth Analg. 2014;118:516-20.

Sheikh AS, Ali K, Mazhar S. Acute aortic syndrome. Circulation. 2013;128:1122-7.

Katz ES, Tunick PA, Colvin SB. Aortic dissection complicating cardiac surgery: diagnosis by intraoperative biplane transesophageal echocardiography. J Am Soc Echocardiogr. 1993;6:217-22.

Goldstein SA, Evangelista A, Abbara S. Multimodality imaging of diseases of the thoracic aorta in adults: from the American Society of Echocardiography and the European Association of Cardiovascular Imaging Endorsed by the Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance. J Am Soc Echocardiogr. 2015;28:119-82.

Aortic dissection after mitral valve replacement: the role of intraoperative echocardiography in this diagnosis

Dissecção de aorta pós-troca valvar mitral: o papel da ecocardiografia intraoperatória no diagnóstico

José Mateus Costa; Fábio de Vasconcelos Papa; Kamila Fernanda Staszko

Abstract

Keywords

Resumo

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