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Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery
We present a case in which intraoperative transesophageal echocardiography (TEE) helped detect intraabdominal bleeding, a rare complication in cardiac surgery. A patient undergoing ascending aortic aneurysm and aortic valve repair had increasing vasopressor and transfusion requirement during sternal...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10690072/ https://www.ncbi.nlm.nih.gov/pubmed/38046715 http://dx.doi.org/10.7759/cureus.48105 |
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author | Mansoor, Asad Singhal, Arun K Hanada, Satoshi |
author_facet | Mansoor, Asad Singhal, Arun K Hanada, Satoshi |
author_sort | Mansoor, Asad |
collection | PubMed |
description | We present a case in which intraoperative transesophageal echocardiography (TEE) helped detect intraabdominal bleeding, a rare complication in cardiac surgery. A patient undergoing ascending aortic aneurysm and aortic valve repair had increasing vasopressor and transfusion requirement during sternal closure with TEE imaging revealing a nonspecific, hypoechoic fluid-like collection anterior to the stomach. Discussion between the anesthesiology and surgical teams prompted further investigation including a diagnostic laparoscopy which confirmed the presence of intraabdominal bleeding. Hemostasis was later achieved after identifying the source of bleeding from a pre-peritoneal vein and associated peritoneal defect adjacent to a mediastinal chest tube placed earlier in the operation. |
format | Online Article Text |
id | pubmed-10690072 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-106900722023-12-02 Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery Mansoor, Asad Singhal, Arun K Hanada, Satoshi Cureus Anesthesiology We present a case in which intraoperative transesophageal echocardiography (TEE) helped detect intraabdominal bleeding, a rare complication in cardiac surgery. A patient undergoing ascending aortic aneurysm and aortic valve repair had increasing vasopressor and transfusion requirement during sternal closure with TEE imaging revealing a nonspecific, hypoechoic fluid-like collection anterior to the stomach. Discussion between the anesthesiology and surgical teams prompted further investigation including a diagnostic laparoscopy which confirmed the presence of intraabdominal bleeding. Hemostasis was later achieved after identifying the source of bleeding from a pre-peritoneal vein and associated peritoneal defect adjacent to a mediastinal chest tube placed earlier in the operation. Cureus 2023-11-01 /pmc/articles/PMC10690072/ /pubmed/38046715 http://dx.doi.org/10.7759/cureus.48105 Text en Copyright © 2023, Mansoor et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Anesthesiology Mansoor, Asad Singhal, Arun K Hanada, Satoshi Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title | Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title_full | Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title_fullStr | Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title_full_unstemmed | Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title_short | Transesophageal Echocardiography Assisting in the Identification of Intraabdominal Bleeding During Cardiac Surgery |
title_sort | transesophageal echocardiography assisting in the identification of intraabdominal bleeding during cardiac surgery |
topic | Anesthesiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10690072/ https://www.ncbi.nlm.nih.gov/pubmed/38046715 http://dx.doi.org/10.7759/cureus.48105 |
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