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Acute ascending aortic intramural hematoma as a complication of the endovascular repair of a Type B aortic dissection

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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.

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Author information

Correspondence to Clinton Kakazu.

Electronic supplementary material

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Supplementary Figure 1 (S1). Color Doppler TEE image of an ascending aorta intramural hematoma at the sinotubular junction (midesophageal ascending aorta short axis view). Video attached (MP4 265 kb)

Supplementary Figure 2 (S2). TEE image of acute pericardial fluid collection with ventricular compression. Video attached (MP4 237 kb)

Supplementary Figure 1 (S1). Color Doppler TEE image of an ascending aorta intramural hematoma at the sinotubular junction (midesophageal ascending aorta short axis view). Video attached (MP4 265 kb)

Supplementary Figure 2 (S2). TEE image of acute pericardial fluid collection with ventricular compression. Video attached (MP4 237 kb)

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Kakazu, C., Augustus, J., Paullin, C. et al. Acute ascending aortic intramural hematoma as a complication of the endovascular repair of a Type B aortic dissection. J Anesth 26, 589–591 (2012). https://doi.org/10.1007/s00540-012-1350-5

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Keywords

  • Aortic dissection
  • Cardiac tamponade
  • Endovascular surgery
  • Transesophageal echocardiography