Visualization of Pattern Flow in Abdominal Arteries by Transgastric Echocardiography After Aortic Dissection Repair |
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Authors: | PAOLO IUS M.D. LORIS SALVADOR M.D. FRANCESCO ROCCO M.D. ANTONIA DA ROS M.D. PAOLA BELLI M.D. PAOLO ROSI M.D. CARLO VALFRE' M.D. |
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Affiliation: | Department of Cardiac Surgery, Treviso Regional Hospital, Treviso, Italy;*Department of Anesthesiology, Treviso Regional Hospital, Treviso, Italy;**Department of Pathology, Treviso Regional Hospital, Treviso, Italy |
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Abstract: | The persistence of false lumen after surgical repair of aortic dissection is frequent. This event has a negative impact on the prognosis and is secondary to the persistence of unrepaired entry sites and of dissected major aortic branches. We describe three cases in which visualization of a dissected celiac trunk with an anomalous flow pattern was possible with transesoghageal echocardiography. Two of these cases died in the early postoperative period and the echo findings were confirmed at necropsy. We suggest that visualization of anomalous pattern flow in the celiac trunk is of prognostic relevance because it plays a major role in mantaining the false lumen persistence and, therefore, should be part of the routine examination after surgical repair of aortic dissection. |
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Keywords: | abdominal vessels, transgastric ultrasonography, aortic dissection |
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