Delayed iatrogenic aortic dissection from coronary bypass managed with extraanatomic bypass
| Autor: | George L. Hines, Mark Gennaro, Dean P. Pappas, Alan R. Hartman |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine medicine.medical_specialty Time Factors medicine.medical_treatment Iatrogenic Disease law.invention law medicine.artery Laparotomy Ascending aorta medicine Cardiopulmonary bypass Humans Derivation Coronary Artery Bypass Aorta Aged Aortic dissection Leg business.industry Abdominal aorta Extraanatomic bypass Middle Aged medicine.disease Surgery Aortic Aneurysm Aortic Dissection business Complication Cardiology and Cardiovascular Medicine Vascular Surgical Procedures |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. 115(4):947-949 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/s0022-5223(98)70379-4 |
| Popis: | sualizing the abdominal vessels. Surface ultrasonography provides an excellent image but necessitates an exposure of the abdominal aorta and thus was feasible in only 5 cases (41.7%) in our series. Frazin and colleagues first reported use of TEE for visualizing abdominal vessels, in which the probe in the stomach was manipulated by the surgeon. Although laparotomy is mandatory with this method, this report encouraged us to use TEE as “transgastric echoangiography” without manipulation by the surgeon. Intravascular ultrasonography is invasive and necessitates another system and operator in the operative field. TEE visualizes abdominal vessels in nearly every case, is noninvasive, and necessitates no additional system; thus it saves both cost and space. Although no gastric complications developed in this series, manipulation of the probe against resistance may cause mucosal damage. Further investigation in a larger series is mandatory for evaluating the safety and clinical significance of this method. |
| Databáze: | OpenAIRE |
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