Transoesophageal echocardiographic follow-up of patients with surgically treated aortic aneurysms
Autor: | Michael Havel, Paul Simon, Reinhard Moidl, Ernst Wolner, Werner Mohl, A. Anwari, M. Grabenwoeger, N. Kupilik, Alyson N. Owen |
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Rok vydání: | 1995 |
Předmět: |
Adult
Male Reoperation medicine.medical_specialty Dissection (medical) Aortic aneurysm Postoperative Complications Aneurysm medicine.artery Ascending aorta medicine Humans Thoracic aorta Thrombus Aged Aortic dissection Aorta Aortic Aneurysm Thoracic business.industry Graft Occlusion Vascular Middle Aged medicine.disease Blood Vessel Prosthesis Echocardiography Doppler Color Surgery Aortic Dissection cardiovascular system Female Radiology Cardiology and Cardiovascular Medicine business Blood Flow Velocity Echocardiography Transesophageal Aortic Aneurysm Abdominal Follow-Up Studies |
Zdroj: | European Heart Journal. 16:402-405 |
ISSN: | 1522-9645 0195-668X |
DOI: | 10.1093/oxfordjournals.eurheartj.a060924 |
Popis: | In the present study, biplane transoesophageal echocardiography (TEE) was scheduled as part of an aneurysm surveillance programme during routine ambulatory follow-up of 37 patients following aortic aneurysm surgery. Time from surgery ranged from 3–72 months. Twenty-two patients had had aortic dissection and 15 non-dissecting aneurysms. Nineteen patients received an interposition graft of the ascending aorta, 12 valved conduit and six an interposition graft of the descending thoracic aorta. TEE showed enlargement of the sinus of Valsalva >45 mm in seven patients. Dilatation >45 mm of one or more aortic segments was found in four patients. An intimal flap was present in all patients, with primary aortic dissection if the initial dissection extended beyond the replaced segment. This was the case in 17 of 22 patients with aortic dissection. One to four intimal tears were identified in 15 of these patients. In all patients with intimal tears, flow was detected by colour flow Doppler in the false lumen. Thrombus formation was nil or minimal in the false lumen in 12 patients. TEE significantly influenced further management in 14 of 37 patients (38%). More frequent follow-up was scheduled in eight patients. Aortic surgery was performed electively for the second or third time in six patients based on TEE findings. We conclude tliat after surgical repair of aortic aneurysm, the incidence of pathological findings by TEE is high. These may have significant influence on further patient management and emphasize the need for careful follow-up. |
Databáze: | OpenAIRE |
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