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Interact CardioVasc Thorac Surg 2008;7:725-726. doi:10.1510/icvts.2008.178335
© 2008 European Association of Cardio-Thoracic Surgery

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Stefanos Demertzis
Tiziano Torre
Francesco Siclari
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Case report - Aortic and aneurysmal

Direct epiaortic ultrasound scanning for the rapid confirmation of intraoperative aortic dissection

Stefanos Demertzisa,*, Gabriele Cassob, Tiziano Torrea and Francesco Siclaria

a Department of Cardiac Surgery, Cardiocentro Ticino, CH-6900 Lugano, Switzerland
b Department of Anesthesiology and Intensive Care Medicine, Cardiocentro Ticino, Lugano, Switzerland

*Corresponding author. Tel.: +41 91 805 3144; fax: +41 91 805 3148.

E-mail address: demertzis{at}cardiocentro.org (S. Demertzis).

We present a case of an intraoperative acute aortic type A dissection (AADA) extending from the distal ascending aorta to the distal aortic arch, initially not visible on the transesophageal echocardiography (TEE). The rapid confirmation of the diagnosis by means of direct epiaortic ultrasound scanning facilitated decision-making and the subsequent successful surgical treatment.

Key Words: Iaortogenic; Intraoperative; Acute aortic dissection; Ultrasound; Epiaortic; Transesophageal echocardiography







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