经食管超声心动图引导的象鼻手术修复降主动脉：病例报告。

IF 1.1 Q3 ANESTHESIOLOGY

Annals of Cardiac Anaesthesia Pub Date : 2024-04-01 DOI:10.4103/aca.aca_132_23

Atsushi Egawa

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引用次数: 0

摘要

摘要象鼻手术是治疗逆行性 A 型急性主动脉夹层的一种血管内治疗方法，它与多种并发症有关，其中溶血性贫血是一种罕见的并发症。我们为一名出现溶血性贫血的患者实施了血管内支架植入术。经食道超声心动图（TEE）检测到了湍流喷射流和狭窄位置，而血管造影和血管内超声（IVUS）却没有检测到。这种成像技术被证明可有效诊断灌注不良，并使我们能够在血管内手术后确认灌注不良问题已得到解决。术中 TEE 是血管造影和 IVUS 的有效辅助手段，可用于血管内修复狭窄的象鼻干时的诊断和治疗评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Transesophageal Echocardiography-Guided Elephant Trunk Procedure for Repair of Descending Thoracic Aorta: A Case Report.

ABSTRACT The elephant trunk procedure, an endovascular strategy for retrograde type A acute aortic dissection, is associated with several complications, hemolytic anemia being a rare one. We performed endovascular stent-graft insertion in a patient who developed hemolytic anemia. Transesophageal echocardiography (TEE) detected turbulent jet flow and stenosis position, which was not detected by angiography and intravascular ultrasound (IVUS). This imaging technique proved effective for malperfusion diagnosis and enabled us to confirm its resolution after the endovascular procedure. Intraoperative TEE is a useful adjunct to angiography and IVUS for diagnosis and therapeutic assessment during endovascular repair of a stenosed elephant trunk.

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来源期刊

Annals of Cardiac Anaesthesia ANESTHESIOLOGY-

CiteScore

1.60

自引率

0.00%

发文量

147

审稿时长

26 weeks

期刊介绍： Annals of Cardiac Anaesthesia (ACA) is the official journal of the Indian Association of Cardiovascular Thoracic Anaesthesiologists. The journal is indexed with PubMed/MEDLINE, Excerpta Medica/EMBASE, IndMed and MedInd. The journal’s full text is online at www.annals.in. With the aim of faster and better dissemination of knowledge, we will be publishing articles ‘Ahead of Print’ immediately on acceptance. In addition, the journal would allow free access (Open Access) to its contents, which is likely to attract more readers and citations to articles published in ACA. Authors do not have to pay for submission, processing or publication of articles in ACA.