Role of transesophageal echocardiography in diagnosis of subaortic aneurysm

Skoularigis, John; Deviri, E; Wisenbaugh, Thomas; Essop, Rafique; Middlemost, Shirley; Sareli, Pinhas

doi:10.1016/0002-9149(92)90876-z

Cited by 9 publications

(12 citation statements)

References 7 publications

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“…With respect to drawing conclusions from the literature, we then synthesized all available data in this narrative review to outline the issues of concern, diagnostic clues, and various techniques performed to repair the primary as well as concomitant anomalies. 1 …”

Section: Methodsmentioning

confidence: 99%

A Review on the Surgical Management of Subvalvular Aneurysm

George

Chowdhury

Singh

et al. 2020

World J Pediatr Congenit Heart Surg

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The present perspective is a synthesis of published investigations in the setting of subvalvular aortic aneurysms. We identified 75 investigations and reviewed the clinical presentation, diagnostic modalities used, surgical techniques employed, and their outcomes. Clinical presentation, radiographic findings, transthoracic and transesophageal echocardiography, electrocardiogram-gated computerized tomography, and magnetic resonance imaging provided the diagnostic information and were used to define the disease entity before surgery. In this article, we have attempted to address several issues concerning establishment of diagnosis, varied clinical presentation, and their management. We submit that an increased appreciation of this disease entity will contribute to improved surgical management.

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Section: Methodsmentioning

confidence: 99%

A Review on the Surgical Management of Subvalvular Aneurysm

George

Chowdhury

Singh

et al. 2020

World J Pediatr Congenit Heart Surg

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“…Transoesophageal echocardiogram is superior to transthoracic echocardiogram in identifying the location of the neck of the aneurysm and in delineating the extent of the aneurysm 14. However, non-invasive modalities like CT angiography and cardiac MRI are now recognised as standard tests to diagnose and characterise subvalvular aneurysms as they also aid in surgical planning 8 15.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

et al. 2016

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Subvalvular aneurysms are the least common type of left ventricular (LV) aneurysms and can be fatal. Subaortic LV aneurysms are much rarer than submitral LV aneurysms and mostly reported in infancy. They can be congenital or acquired secondary to infections, cardiac surgery or trauma. Here, we report a unique presentation of a large, idiopathic subaortic aneurysm in an adult masquerading as an acute coronary syndrome. Diagnosis was made with the help of a CT aortography. Aneurysm was surgically resected with good results. This case highlights the clinical presentation and management of subaortic aneurysms, an important differential for congenital aortic malformations.

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“…Various case reports in literature have mentioned it after history of infective endocarditis, myocardial infarction, chest trauma, cardiac surgery, prosthetic aortic valve implantation, and following closure of outlet type ventricular septal defect. [1][2][3][4][5][6][7] Our patient did not have history of any of these associated causative factor. In our case even remote speculation of LVOT pseudoaneurysm was difficult and, therefore, a unique one.…”

Section: Discussionmentioning

confidence: 99%

“…The LVOT pseudoaneurysm has been reported in patients having history of cardiac surgery, myocardial infarction, prosthetic aortic valve replacement, infective endocarditis, chest trauma and congenital heart diseases particularly outlet type of ventricular septal defect. [1][2][3][4][5][6][7] Mitral -aortic intervalvular fibrosa is predominantly fibrous, avascular, and is prone to infection and trauma which can lead to aneurysm formation. [8] The symptomatology is usually vague and is secondary to obstruction produced by the aneurysmal sac of the surrounding structures like LVOT, coronary arteries, pulmonary artery, left atrium, and left main bronchus or it may be fatal if it ruptures in these structures.…”

Section: Introductionmentioning

confidence: 99%

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Idiopathic left ventricular outflow tract pseudoaneurysm

Jha

Pandey

Gharde³

et al. 2013

Ann Card Anaesth

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Left ventricular outflow tract (LVOT) pseudoaneurysm is a rare occurrence and may produce clinically unpredictable symptoms. A very few cases of LVOT pseudoaneurysm are reported and there has always been a predisposing factor in these reported cases such as history of infective endocarditis, myocardial infarction, prosthetic aortic valve replacement or chest trauma. Our patient did not have the above predisposing conditions. Intra operative transesophageal echocardiography helped patient management and guided the surgical team in securing and isolation of the aneurysmal sac from the LVOT.

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Role of transesophageal echocardiography in diagnosis of subaortic aneurysm

Cited by 9 publications

References 7 publications

A Review on the Surgical Management of Subvalvular Aneurysm

A Review on the Surgical Management of Subvalvular Aneurysm

Idiopathic subvalvular aortic aneurysm masquerading as acute coronary syndrome

Idiopathic left ventricular outflow tract pseudoaneurysm

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