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
- pulmonary artery
- coronary artery disease
- left ventricular
- acute kidney injury
- case report
- transcatheter aortic valve implantation
- aortic valve
- pulmonary hypertension
- computed tomography
- transcatheter aortic valve replacement
- left atrial appendage
- ejection fraction
- liver failure
- patients undergoing
- heart failure
- respiratory failure
- atrial fibrillation
- drug induced
- intensive care unit
- mechanical ventilation