https://scholars.lib.ntu.edu.tw/handle/123456789/595837
Title: | Eight-year experience of intraoperative aortic dissection | Authors: | Lin T.-Y. YIH-SHARNG CHEN Chiu K.-M. RON-BIN HSU HSI-YU YU MING-JIUH WANG |
Issue Date: | 2009 | Journal Volume: | 17 | Journal Issue: | 4 | Start page/Pages: | 408-412 | Source: | Asian Cardiovascular and Thoracic Annals | Abstract: | Aortic dissection is a rare but devastating complication of cardiac operations. The purpose of this investigation was to assess the occurrence of aortic dissection during elective cardiac operations and the usefulness of intraoperative transesophageal echocardiography for the diagnosis and management of this complication. Data of consecutive adult patients undergoing elective cardiac surgery with transesophageal echocardiographic monitoring during an 8-year period were studied retrospectively. Aortic dissection was identified in 7 (0.13%) of 5,247 patients, and diagnosed immediately by transesophageal echocardiography in 5 of them; 2 were diagnosed later by transesophageal echocardiography. All aortic dissections were type A and they occurred after completion of the primary procedure. Two patients treated conservatively died within 5 days. Four of the 5 patients who underwent immediate reoperation survived with serious postoperative complications. Transesophageal echocardiography should be carried out when there is a risk of aortic dissection during cardiac operations, especially in the posterior wall of the ascending aorta, to avoid missing the diagnosis and delaying treatment. ? SAGE Publications 2009. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-70350728155&doi=10.1177%2f0218492309341784&partnerID=40&md5=76520542a8e35dc23a4445b1fd55fdb5 https://scholars.lib.ntu.edu.tw/handle/123456789/595837 |
ISSN: | 0218-4923 | DOI: | 10.1177/0218492309341784 | SDG/Keyword: | adult; aged; aorta dissection; article; ascending aorta; female; heart surgery; human; intraoperative period; major clinical study; male; off pump coronary surgery; preoperative period; transesophageal echocardiography; aorta aneurysm; dissecting aneurysm; Doppler echocardiography; echography; elective surgery; heart surgery; middle aged; mortality; peroperative care; prediction and forecasting; reoperation; retrospective study; time; transesophageal echocardiography; treatment outcome; vascular surgery; Aged; Aged, 80 and over; Aneurysm, Dissecting; Aortic Aneurysm; Cardiac Surgical Procedures; Echocardiography, Doppler, Color; Echocardiography, Transesophageal; Female; Humans; Intraoperative Care; Male; Middle Aged; Predictive Value of Tests; Reoperation; Retrospective Studies; Surgical Procedures, Elective; Time Factors; Treatment Outcome; Vascular Surgical Procedures |
Appears in Collections: | 醫學系 |
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