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Thromboatheromatous coarctation of the aorta diagnosed with intraoperative TOE during emergent open aneurysm clipping.
McNeil, John S; Kleiman, Amanda M; Nemergut, Edward C; Huffmyer, Julie L.
Afiliación
  • McNeil JS; Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
  • Kleiman AM; Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
  • Nemergut EC; Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
  • Huffmyer JL; Anesthesiology, University of Virginia, Charlottesville, Virginia, USA.
BMJ Case Rep ; 20182018 May 26.
Article en En | MEDLINE | ID: mdl-29804072
A woman in her 50s presenting for emergent intracranial surgery was discovered to have a large incongruity in blood pressure between her right arm and her other extremities. Intraoperative rescue transoesophageal echocardiography (TOE) revealed a large thromboatheromatous burden in her descending aorta resulting in a functional coarctation. Usually diagnosed via CT imaging, we present what we believe to be the first published case diagnosed intraoperatively using TOE. After the diagnosis was made, blood pressure goals were adjusted to provide sufficient perfusion distally and her surgery was completed otherwise uneventfully.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aorta Torácica / Coartación Aórtica / Aneurisma Intracraneal / Ecocardiografía Transesofágica / Placa Aterosclerótica Tipo de estudio: Diagnostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aorta Torácica / Coartación Aórtica / Aneurisma Intracraneal / Ecocardiografía Transesofágica / Placa Aterosclerótica Tipo de estudio: Diagnostic_studies Límite: Female / Humans / Middle aged Idioma: En Revista: BMJ Case Rep Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido