Transesophageal echocardiography: a tool for intraoperative assessment of coronary blood flow

Transesophageal echocardiography (TEE) has become an indispensable part of cardiac surgery, but its potential for assessing coronary anatomy and blood flow remains underutilised. This case report presents a case of acute iatrogenic left main coronary artery obstruction following re-operative aortic...

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Detalles Bibliográficos
Autores principales: Garg, Pankaj, Wadiwala, Ishaq J, Raavi, Lekhya, Mateen, Nargis, Crestanello, Juan, Pham, Si M, Jacob, Samuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
Materias:
Surgical Technique
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9831647/
https://www.ncbi.nlm.nih.gov/pubmed/36636654
http://dx.doi.org/10.1093/jscr/rjac603
Descripción
Sumario:Transesophageal echocardiography (TEE) has become an indispensable part of cardiac surgery, but its potential for assessing coronary anatomy and blood flow remains underutilised. This case report presents a case of acute iatrogenic left main coronary artery obstruction following re-operative aortic valve replacement that was promptly diagnosed by intraoperative TEE and managed successfully by Bentall operation. We also emphasise the technique of TEE for coronary evaluation, its caveats and its clinical application during cardiac surgery.

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