Anesthesiology Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Anesthesiology, Mayo Clinic Health System, Minnesota, USA.
Ann Card Anaesth. 2021 Oct-Dec;24(4):495-497. doi: 10.4103/aca.ACA_131_20.
Aortic pathology is a common cardiovascular disease in the US. Transesophageal Echocardiogram is an invaluable imaging modality in the management of aortic pathology in perioperative setting. Intravascular ultrasound can assess coronary obstruction during coronary interventions and can be used in endovascular aneurysm repair. A 54-year-old male underwent Hybrid Elephant Trunk Surgery, for complex open aorta repair. There was functional confirmation graft patency via the femoral arterial line tracing, there was surgical confirmation via visual and physical inspection of graft, but there was lacking anatomical confirmation. Epiaortic ultrasound reassured the graft patency at level of the arch. However, transesophageal echocardiogram was not reassuring for adequate anatomical confirmation of patency. Intravascular ultrasound was used for anatomical confirmation of graft patency and position. This technology provides real time graft patency and is a great tool in open aorta reconstruction surgery.
主动脉病理学是美国常见的心血管疾病。经食管超声心动图在围手术期主动脉病理学的管理中是一种非常宝贵的成像方式。血管内超声可在冠状动脉介入治疗期间评估冠状动脉阻塞，并可用于血管内动脉瘤修复。一名 54 岁男性因复杂的开放性主动脉修复而行杂交象鼻手术。通过股动脉线追踪确认了移植物的通畅性，通过对移植物的视觉和物理检查进行了手术确认，但缺乏解剖确认。主动脉外超声在弓部水平确认了移植物的通畅性。然而，经食管超声心动图不能充分确认解剖学上的通畅性。血管内超声用于确认移植物的通畅性和位置。该技术可实时确认移植物的通畅性，是开放性主动脉重建手术的重要工具。
