Transesophageal echocardiography: a tool for intraoperative assessment of coronary blood flow.
Pankaj GargIshaq J WadiwalaLekhya RaaviNargis MateenJuan CrestanelloSi M PhamSamuel JacobPublished in: Journal of surgical case reports (2023)
Transesophageal echocardiography (TEE) has become an indispensable part of cardiac surgery, but its potential for assessing coronary anatomy and blood flow remains underutilised. This case report presents a case of acute iatrogenic left main coronary artery obstruction following re-operative aortic valve replacement that was promptly diagnosed by intraoperative TEE and managed successfully by Bentall operation. We also emphasise the technique of TEE for coronary evaluation, its caveats and its clinical application during cardiac surgery.
Keyphrases
- blood flow
- coronary artery
- cardiac surgery
- aortic valve replacement
- aortic stenosis
- left ventricular
- pulmonary artery
- coronary artery disease
- acute kidney injury
- case report
- transcatheter aortic valve implantation
- aortic valve
- transcatheter aortic valve replacement
- ejection fraction
- computed tomography
- pulmonary hypertension
- patients undergoing
- left atrial appendage
- liver failure
- heart failure
- drug induced
- atrial fibrillation
- pulmonary arterial hypertension
- aortic dissection
- catheter ablation