Aortic Cannulation around Grade 5 Aortic Arch Atheroma Utilizing Transesophageal Echocardiography

Autor: Trey W. Vanek, Jeremiah Hayanga, Matthew Ellison, Jeffrey Puette, Lawrence Wei, Heather K. Hayanga
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Case Reports in Anesthesiology, Vol 2020 (2020)
Druh dokumentu: article
ISSN: 2090-6382
2090-6390
DOI: 10.1155/2020/8820948
Popis: A 61-year-old male with severe aortic valve stenosis was scheduled for a minimally invasive bioprosthetic aortic valve replacement. Intraoperative transesophageal echocardiography (TEE) showed a unicuspid aortic valve and extensive aortic atheromatous disease. A large atheroma with mobile components existed near the distal aortic arch. A 17-French aortic cannula was successfully placed using TEE guidance with the tip proximal to the mobile atheroma to avoid inadvertent disruption and subsequent embolic sequelae. The patient had no evidence of perioperative stroke or other complications postoperatively. This case demonstrates one strategy to manage severe atheromatous disease intraoperatively. We also review additional management options.
Databáze: Directory of Open Access Journals
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