Eddins Michelle, Aguirre Marco, Price Jonathan, Wait Michael, Bajona Pietro
Department of Anesthesia, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Department of Cardiovascular and Thoracic Surgery, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Aorta (Stamford). 2016 Jun 1;4(3):99-101. doi: 10.12945/j.aorta.2016.15.037. eCollection 2016 Jun.
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.
主动脉外膜超声是一种成像方式，常用于在择期心脏手术期间评估升主动脉的动脉粥样硬化及其他壁层病变。其在局限性主动脉破裂中的应用尚未得到证实。我们报告一例伴有升主动脉局限性假性动脉瘤的胸部创伤病例。手术中，通过肉眼检查、手动触诊或经食管超声心动图均无法确定主动脉撕裂的确切位置。使用了主动脉外膜超声，确定了主动脉缺损并成功修复。当肉眼检查和其他术中成像不足时，这种术中成像方式可能在主动脉病变的识别中发挥越来越重要的作用。
