Transesophageal echocardiography evaluation of the thoracic aorta

Patil, TA; Nierich, Arno P.

doi:10.4103/0971-9784.192623

Cited by 38 publications

(29 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It has the advantage that also soft plaques are visible. A-view enhanced transesophageal echocardiography is only possible after induction of anesthesia and needs special skills from the anesthesiologists to place the saline filled balloon in the trachea [1][2][3].…”

Section: Discussionmentioning

confidence: 99%

The Role of Preoperative Chest CAT Scan in Cardiac Surgical Patients

Hartog-Dikhoff¹,

Overweg²,

Stooker³

2017

Vasc Med Surg

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

The Role of Preoperative Chest CAT Scan in Cardiac Surgical Patients

Hartog-Dikhoff¹,

Overweg²,

Stooker³

2017

Vasc Med Surg

View full text Add to dashboard Cite

show abstract

“…Transesophageal echocardiography provides limited additional information regarding the aortic arch, but is useful for the assessment of intracardiac anatomy in patients with difficult transthoracic windows. 20…”

Section: Transthoracic Echocardiographymentioning

confidence: 99%

Preoperative Physiology, Imaging, and Management of Coarctation of Aorta in Children

Ganigara

Doshi

Naimi

et al. 2019

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Coarctation of the aorta (CoA) is a narrowing of the proximal thoracic aorta typically located at the junction of the aorta with the ductus arteriosus. While it is a simple lesion to understand, considerable variation exists in the anatomy and pathophysiology, leading to varied clinical presentation, management options, and prognosis. On the one hand critical CoA manifests in the neonatal period as a duct-dependent lesion, while less severe forms of obstruction present later in childhood or adulthood as hypertension or incidentally noted precordial murmurs. While transthoracic echocardiography is usually adequate, older children and adults may need more advanced imaging modalities like computed tomography and magnetic resonance imaging prior to intervention. Depending on the type of lesion, management options currently available include surgery and percutaneous balloon angioplasty and stenting. Even after successful interventions, these patients need life-long surveillance for residual aortic obstruction and systemic hypertension with variable long-term clinical outcomes.

show abstract

“…As the scan duration for MRA is much longer than for CTA, patients undergoing MRA must be stable, reducing its effectiveness in hemodynamically unstable patients 35 . Patients with implanted devices, such as pacemakers and defibrillators, are also unsuitable candidates for MRA as these objects are ferromagnetic, risking dislodgement, and serious injury to the patient 36 . MRA may be used in conjunction with gadolinium‐based contrast and may even be appropriate in mild to moderate renal insufficiency.…”

Section: Resultsmentioning

confidence: 99%

Thoracic aortic aneurysms in patients with heritable connective tissue disease

et al. 2021

View full text Add to dashboard Cite

Background Patients with connective tissue diseases are at high lifetime risk of developing thoracic aortic aneurysms (TAAs) due to defects in extracellular matrix composition which compromise the structural integrity of the aortic wall. It is vital to identify and manage aneurysms early to prevent fatal complications such as dissection or rupture. Method This review synthesises information obtained from a thorough literature search regarding the pathophysiology of TAAs in those with heritable connective tissue diseases (HCTDs), the investigations for timely diagnosis and current operative strategies. Results Major complications of open repair (OR) include pneumonia (32%), haemorrhage (31%) and tracheostomy (18%), with a minor risk of vocal cord paresis (9%). For thoracic endovascular aortic repair (TEVAR), high rates of endoleak were documented (38‐66.6%). Reintervention rates for TEVAR are also high at 38‐44%. Mortality rates were documented as 25% for open repair and vary from 14% to 44% for TEVAR. Conclusion OR remains the mainstay of surgical management. While TEVAR use is expanding, it remains the alternative choice due to concerns over endograft durability, limited long‐term outcome data and the lack of high‐quality evidence regarding its use in HCTD patients.

show abstract

Transesophageal echocardiography evaluation of the thoracic aorta

Cited by 38 publications

References 32 publications

The Role of Preoperative Chest CAT Scan in Cardiac Surgical Patients

The Role of Preoperative Chest CAT Scan in Cardiac Surgical Patients

Preoperative Physiology, Imaging, and Management of Coarctation of Aorta in Children

Thoracic aortic aneurysms in patients with heritable connective tissue disease

Contact Info

Product

Resources

About