Management of a Patient with Atheromatous Aortic Arch Diagnosed by as Intraoperative Transesophageal Echocardiography during Coronary Artery Bypass Grafting / 대한마취과학회지
Korean Journal of Anesthesiology
; : 398-402, 2002.
Article
em Ko
| WPRIM
| ID: wpr-184691
Biblioteca responsável:
WPRO
ABSTRACT
Protruding atheromas of the aorta have been identified as one of the sources of a systemic emboli and a major cause of stroke following cardiac surgery. We report a case of surgical modification in a 58-year-old man with an atheromatous aortic arch detected by an intraoperative transesophageal echocardiography (TEE) during coronary artery bypass grafting (CABG). After induction of anesthesia, protruding atheromatous plaques with a mobile element in the aortic arch were identified by a TEE that was not noticed by a preoperative angiography and transthoracic echocardiograpy. Based on the TEE finding, the surgical technique was modified to CABG combined with an aortic atherectomy under deep hypothermic circulatory arrest. The atheromatous areas correlated well with the TEE finding and the patient recovered from anesthesia and surgery without neurologic deficit. Therefore, an intraoperative TEE examination is considered as a safe and reliable technique to identify atherosclerotic disease of the thoracic aorta in patients undergoing CABG and to minimize unexpected neurologic complications after CABG.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Aorta
/
Aorta Torácica
/
Cirurgia Torácica
/
Angiografia
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Ponte de Artéria Coronária
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Aterectomia
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Ecocardiografia Transesofagiana
/
Vasos Coronários
/
Acidente Vascular Cerebral
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Parada Circulatória Induzida por Hipotermia Profunda
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Limite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Anesthesiology
Ano de publicação:
2002
Tipo de documento:
Article