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Role of Echocardiography in Aortic Surgery

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Anesthesia and Perioperative Care for Aortic Surgery

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Abstract

An ideal imaging technique should be able to confirm the diagnosis of aortic disease, classify the nature of aortic pathology [classic dissection versus intramural hematoma (IMH)], define the extent of aortic involvement (ascending, arch, and descending), and evaluate for associated complications. The diagnostic test should be sensitive, specific, and highly accurate. Diagnostic testing should be readily available to be done as quickly as possible considering the early high mortality of acute aortic disease (1% per hour in the first 48 h). It should also be able to provide additional information, which impacts the patient’s immediate management and long-term outcome such as myocardial ischemia, aortic valve (AV) regurgitation, cardiac tamponade, reentry tears, and aortic branch vessel involvement.

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  1. Department of Anesthesiology, University of Pittsburgh Medical Center – Presbyterian Hospital, Pittsburgh, PA, USA

    Kathirvel Subramaniam

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  1. Kathirvel Subramaniam
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  2. Balachundhar Subramaniam
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Correspondence to Kathirvel Subramaniam .

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  1. University of Pittsburgh Medical Center, Presbyterian Hospital, Clinical Assistant Professor, Pittsburgh, 15213-2582, Pennsylvania, USA

    Kathirvel Subramaniam

  2. Physician Director of Perioperative Serv, Professor of Clinical Anesthesia and of, Associate Vice President, Columbus, 43210, Ohio, USA

    Kyung W. Park

  3. Harvard Medical School, Director, Division of Cardiovascular Ane, Assistant Professor in Anesthesia, Boston, 02215, Massachusetts, USA

    Balachundhar Subramaniam

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Subramaniam, K., Subramaniam, B. (2011). Role of Echocardiography in Aortic Surgery. In: Subramaniam, K., Park, K., Subramaniam, B. (eds) Anesthesia and Perioperative Care for Aortic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-0-387-85922-4_4

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