Echocardiography-assisted surgery in transaortic endovascular stent grafting: Role of transesophageal echocardiography Kazumasa Orihashi, MD, Yuichiro.

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Presentation transcript:

Echocardiography-assisted surgery in transaortic endovascular stent grafting: Role of transesophageal echocardiography Kazumasa Orihashi, MD, Yuichiro Matsuura, MD, Taijiro Sueda, MD, Masanobu Watari, MD, Kenji Okada, MD, Yuji Sugawara, MD, Osamu Ishii, MD The Journal of Thoracic and Cardiovascular Surgery Volume 120, Issue 4, Pages 672-678 (October 2000) DOI: 10.1067/mtc.2000.109237 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Schematic illustration of procedures and use of TEE in surgical endovascular stent grafting. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 672-678DOI: (10.1067/mtc.2000.109237) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Transesophageal echocardiogram showing a catheter with the stent-graft inside, entering the thoracic descending aorta. The catheter is depicted as strongly echogenic and accompanied by an acoustic shadow. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 672-678DOI: (10.1067/mtc.2000.109237) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 3 Transesophageal echocardiogram showing correction of inward coil-up of distal end of the stent by using a balloon catheter. A, Graft edge is bent inward; B, balloon inflation; C, graft edge is flat. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 672-678DOI: (10.1067/mtc.2000.109237) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 4 Transesophageal echocardiogram showing a gap between the graft and aortic wall. B, Leak at proximal anastomosis and around the stented graft in patient 6. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 672-678DOI: (10.1067/mtc.2000.109237) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 5 Transesophageal echocardiogram of false lumen in patient 5. The false lumen with blood flow preoperatively (left) was thrombosed after stent grafting (center) . The lumen disappeared 8 months later (right) . The Journal of Thoracic and Cardiovascular Surgery 2000 120, 672-678DOI: (10.1067/mtc.2000.109237) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions