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CC BY 4.0 · Aorta (Stamford) 2016; 04(03): 99-101
DOI: 10.12945/j.aorta.2016.15.037
Case Report
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Intraoperative Epiaortic Ultrasound for Traumatic Pseudoaneurysm of the Ascending Aorta

Michelle Eddins
1   Department of Anesthesia, University of Texas Southwestern Medical Center, Dallas, Texas, USA
,
Marco Aguirre
1   Department of Anesthesia, University of Texas Southwestern Medical Center, Dallas, Texas, USA
,
Jonathan Price
2   Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
,
Michael Wait
2   Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
,
Pietro Bajona
2   Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA
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Publikationsverlauf

18. November 2015

05. Mai 2016

Publikationsdatum:
24. September 2018 (online)

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Abstract

Epiaortic ultrasound is an imaging modality that is commonly used to evaluate the ascending aorta for atheroma and other mural lesions during elective cardiac surgery. Its use in contained aortic rupture has not been established. We present a case of thoracic trauma with contained pseudoaneurysm of the ascending aorta. At operation, the precise location of the aortic tear could not be identified by visual inspection, manual palpation, or transesophageal echocardiography. Epiaortic ultrasound was employed and the aortic defect was identified and successfully repaired. This intraoperative imaging modality may play an increasing role in the identification of aortic pathology when visual inspection and other intraoperative imaging is insufficient.

Key Words

Epiaortic - Pseudoaneurysm - Ultrasound - Trauma
 

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