학술논문

Acute ascending aortic intramural hematoma as a complication of the endovascular repair of a Type B aortic dissection
Document Type
Academic Journal
Source
Journal of Anesthesia. August 1, 2012, Vol. 26 Issue 4, p589, 3 p.
Subject
Dissecting aneurysm -- Case studies
Surgery -- Case studies
Health
Case studies
Language
English
ISSN
0913-8668
Abstract
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. Keywords Aortic dissection * Cardiac tamponade * Endovascular surgery * Transesophageal echocardiography
Introduction Endovascular aortic graft repair (EVAR) of descending aortic aneurysm dissection (Type B) is a promising alternative treatment modality to open graft placement [1-3]. However, EVAR is also associated with [...]