Acute ascending aortic intramural hematoma as a complication of the endovascular repair of a Type B aortic dissection
- 209 Downloads
Endovascular aortic graft repair (EVAR) for patients with Type B aortic dissection is a less invasive surgical procedure (compared to traditional open surgical repair) that is associated with less morbidity and shortened recovery times. However, there are notable complications for the patients undergoing EVAR. We report a patient who was brought to our hospital with a Type B dissection and underwent a thoracic EVAR but suffered iatrogenic aortic injury resulting in cardiac tamponade. This case study highlights the importance of intraoperative transesophageal echocardiography to facilitate early detection of possible EVAR complications.
KeywordsAortic dissection Cardiac tamponade Endovascular surgery Transesophageal echocardiography
Supplementary Figure 1 (S1). Color Doppler TEE image of an ascending aorta intramural hematoma at the sinotubular junction (midesophageal ascending aorta short axis view). Video attached (MP4 265 kb)
Supplementary Figure 2 (S2). TEE image of acute pericardial fluid collection with ventricular compression. Video attached (MP4 237 kb)
- 6.Gonzalez-Fajardo JA, Gutierrez V, San Roman JA, Serrado A, Arreba E, del Rio L, Martin M, Carrera S, Vaquero C. Utility of intraoperative transesophageal echocardiography during endovascular stent-graft repair of acute thoracic aortic dissection. Ann Vasc Surg. 2002;16(3):297–303.PubMedCrossRefGoogle Scholar
- 10.Setacci F, Sirignano P, De Donato G, Chisci E, Galzerano G, Massaroni R, Setacci C. Endovascular thoracic aortic repair and risk of spinal cord ischemia: the role of previous or concomitant treatment for aortic aneurysm. J Cardiovasc Surg (Torino). 2010;51(2):169–76.Google Scholar