Cardiovascular Surgery and Interventions
2016, Vol 3, Num 1 Page(s): 040-042
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Transesophageal echocardiography may verify true lumen of a dissected aorta
Cem Arıtürk1, Yasemin Demirci2, Murat Ökten1, Sinan Dağdelen2, Fevzi Toraman3, Hasan Karabulut1
1Departments of Cardiovascular Surgery, Acıbadem University, İstanbul, Turkey
2Departments of Cardiology, Acıbadem University, İstanbul, Turkey
3Departments of Anesthesiology and Reanimation, Acıbadem University, İstanbul, Turkey
Keywords: Aortic dissection; echocardiography; endovascular intervention
Thoracic endovascular aortic repair is used to treat complicated type B dissections. A 62-year-old male patient was admitted to our cardiovascular surgery clinic with chest pain. Contrast thoracic tomography showed chronic type B dissection, proximal advance of type B aortic dissection beginning distally to the origin of the left subclavian artery. Endovascular intervention was planned. Transesophageal echocardiography was used to verify the true and false lumens during procedure. In conclusion, angiographic examination may not be sufficient to differentiate the true and the false lumens of the aorta. Therefore, transesophageal echocardiography may be used to verify the true lumen of the thoracic descending aorta.
Cem Arıtürk1, Yasemin Demirci2, Murat Ökten1, Sinan Dağdelen2, Fevzi Toraman3, Hasan Karabulut1
1Departments of Cardiovascular Surgery, Acıbadem University, İstanbul, Turkey
2Departments of Cardiology, Acıbadem University, İstanbul, Turkey
3Departments of Anesthesiology and Reanimation, Acıbadem University, İstanbul, Turkey
Keywords: Aortic dissection; echocardiography; endovascular intervention
Thoracic endovascular aortic repair is used to treat complicated type B dissections. A 62-year-old male patient was admitted to our cardiovascular surgery clinic with chest pain. Contrast thoracic tomography showed chronic type B dissection, proximal advance of type B aortic dissection beginning distally to the origin of the left subclavian artery. Endovascular intervention was planned. Transesophageal echocardiography was used to verify the true and false lumens during procedure. In conclusion, angiographic examination may not be sufficient to differentiate the true and the false lumens of the aorta. Therefore, transesophageal echocardiography may be used to verify the true lumen of the thoracic descending aorta.
DOI : 10.5606/e-cvsi.2016.445
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