• Thoracic aortic aneurysm (TAA) represents aneurysmal dilatation of the ascending thoracic aorta, the aortic arch, or the descending thoracic aorta, or a combination of these locations. (medscape.com)
  • Thoracic aortic aneurysms are less common than aneurysms of the abdominal aorta. (medscape.com)
  • Aortic aneurysm is defined as a localized or diffuse dilatation of more than 50% normal diameter of the aorta. (medscape.com)
  • [ 1 ] It is the most common disease of the thoracic aorta requiring surgical treatment. (medscape.com)
  • Contrast CT scans rapidly and precisely evaluate the thoracic and abdominal aorta to determine the location and extent of the aneurysm and the relation of the aneurysm to major branch vessels and surrounding structures. (medscape.com)
  • The diagnosis of aortic dissection by standard transthoracic echocardiography is based on detecting intimal flaps in the aorta. (medscape.com)
  • Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure for temporary intra-aortic balloon occlusion being increasingly reported and published since its inauguration by Hughes ( 1 ). (frontiersin.org)
  • Thoracic aortic aneurysms (TAAs) are abnormal dilatations of the aorta above the diaphragm. (msdmanuals.com)
  • Aortic Regurgitation Aortic regurgitation (AR) is incompetency of the aortic valve causing backflow from the aorta into the left ventricle during diastole. (msdmanuals.com)
  • An aortic aneurysm is a bulging, weakened area in the wall of the aorta. (baptisthealth.net)
  • A thoracic aortic aneurysm occurs in the part of the aorta that runs through the chest. (baptisthealth.net)
  • Aneurysms occur more often in the part of the aorta that runs through the belly or abdomen (abdominal aortic aneurysm). (baptisthealth.net)
  • We report the case of splenic infarct secondary to embolisation from a polypoid 17 mm x 10 mm thoracic aorta thrombi in a 60 year-old female. (edu.au)
  • The management and prognostic value of thoracic aorta thrombi are poorly defined in literature. (edu.au)
  • An aortic aneurysm is caused by weakness in the walls of the aorta. (epnet.com)
  • Cardiac catheterization also showed a moderately severe dilatation of the ascending thoracic aorta. (psychiatrictimes.com)
  • A 34-year-old man, known case of Marfan syndrome, with history of two prior aortic surgeries for aneurysm of ascending aorta, arch and thoracoabdominal aorta, presented with hemoptysis. (biomedcentral.com)
  • Thus, preventive measures such as using sternal bands and placing a covering layer between the sternal wires and aortic grafts are recommended in patients with dilated or replaced ascending aorta. (biomedcentral.com)
  • Seven years earlier, he had undergone Bentall operation and arch replacement with E-vita graft using frozen elephant trunk (FET) technique with a stent-graft in the descending aorta due to acute aortic dissection and aortic arch aneurysm. (biomedcentral.com)
  • Six years later, he had returned with a thoraco-abdominal aortic aneurysm and a huge pseudoaneurysm around the distal part of the descending aorta. (biomedcentral.com)
  • An extensive surgery with thoracoabdominal incision replacing all the thoracic and abdominal aorta by Dacron graft had been done, and the proximal part of the graft had been sutured to the distal end of the stent-graft. (biomedcentral.com)
  • During CPR, contrast echocardiography with agitated saline was performed in the left ventricle and the aorta, and the direction of contrast flow was assessed using transesophageal echocardiography. (wustl.edu)
  • RESULTS: On injecting the contrast in the aortic root, anterograde flow from the aorta during the compression phase was observed. (wustl.edu)
  • CONCLUSIONS: Retrograde flow to the left atrium and forward blood flow onto the aorta on left ventricular contrast echocardiography during the compression phase suggests that extrinsic compression of the left ventricle by external chest compression acts as a pump in generating blood flow during standard CPR in humans. (wustl.edu)
  • After ECC institution, a minimally-invasive clamp (Cygnet ® Flexible Clamps, Vitalitec, USA) was applied across the distal ascending aorta, and warm blood cardioplegia was given through the aortic root A "hockey-stick" aortotomy crossing the sinotubular junction was performed and the aortic valve exposed. (annalscts.com)
  • At the union of the ascending aorta with the aortic arch, the caliber of the vessel is increased. (medscape.com)
  • The descending thoracic aorta is contained in the posterior mediastinum. (medscape.com)
  • The abdominal aorta begins at the aortic hiatus of the diaphragm, in front of the lower border of the body of the last thoracic vertebra. (medscape.com)
  • The celiac trunk is a short thick trunk that arises from the front of the aorta, just below the aortic hiatus of the diaphragm. (medscape.com)
  • An emergency fludeoxyglucose F 18 ( 18 F-FDG) positron emission tomography/computed tomography (PET/CT) elucidated a focus of intense 18 F-FDG uptake adjacent to the aortic root calcifications with an extension of the inflammation to the right anterior aspect of the aortic root. (acc.org)
  • Repeat transoesophageal echocardiography and computed tomography have demonstrated marked reduction in thrombi size with no further embolic event. (edu.au)
  • Computed tomography scan, showing normal mediastinum with no evidence of aortic filling defects or pseudoaneurysm. (cmaj.ca)
  • Although arch aortography remains the "gold standard," contrast-enhanced computed tomography and transesophageal echocardiography are acceptable methods to exclude aortic injuries. (cmaj.ca)
  • symptoms were fever and rhinovirus-positive nasal swab PCR, negative blood cultures, a C-reactive protein (CRP) of 142 mg/L, and mild heart failure (N-terminal prohormone of brain natriuretic peptide of 2,100 ng/L). Results of a thoracic computed tomography (CT) scan were compatible with pneumonia. (cdc.gov)
  • When the diagnosis is sufficiently likely to indicate definitive testing, computed tomography angiography is the advanced imaging test of choice in most centers, but transesophageal echocardiography and MRI may be appropriate alternatives in certain circumstances. (aneskey.com)
  • Various non-invasive diagnostic tools(transthoracic and transesophageal echocardiography, conventional and spiral computed tomography and magnetic resonance imaging) and invasive angiography are available for the evaluation of the extent of dissection, site of intimal tear and side branch involvement. (e-emj.org)
  • We performed preoperative transesophageal echocardiography in addition to computed tomography in 3 cases of acute type A aortic dissection and report these cases with the review of articles. (e-emj.org)
  • Far-field intravascular ultrasound (IVUS) is a novel technology that can be utilized to assess aortic valve annulus and predict paravalvular leak, with comparable results to multi-detector computed tomography-the current gold standard in the preprocedural planning in TAVR. (springeropen.com)
  • Finding out the cause of hemoptysis, he was admitted and a comprehensive evaluation including computed tomography angiography (CTA), bronchoscopy, and transesophageal echocardiography set out. (biomedcentral.com)
  • Contrast-enhanced computed tomography (CT) revealed no pulmonary disease but showed a deformity of the right atrium (RA) and narrowing of the tricuspid valve tract compressed by ascending aortic dilation (50 mm in diameter) (Fig. 1 a, b), ascending aortic elongation (Fig. 1 a), and pectus excavatum (Fig. 1 b). (biomedcentral.com)
  • a and b Preoperative contrast-enhanced computed tomography shows deformity of the right atrium and narrowing of the tricuspid valve tract compressed by ascending aortic dilation and elongation and pectus excavatum (green arrowhead). (biomedcentral.com)
  • Better imaging technology has led to the earlier recognition of acute aortic dissection, allowing the identification of more patients with complex conditions who are candidates for surgery. (medscape.com)
  • In patients with aortic aneurysm, aortic dissection is the most feared catastrophic event. (medscape.com)
  • Although aortic dissection may be suspected on the basis of history and physical examination findings, diagnostic imaging is necessary to establish the diagnosis. (medscape.com)
  • The clinical team involved in the diagnosis and treatment of patients with aortic dissection should prospectively agree on a strategy. (medscape.com)
  • Transesophageal echocardiography (TEE), CT scanning, and MRI have been reported to be highly sensitive for the diagnosis of aortic dissection. (medscape.com)
  • Serious and relatively common causes include acute coronary syndrome such as a heart attack (31%), pulmonary embolism (2%), pneumothorax, pericarditis (4%), aortic dissection (1%) and esophageal rupture. (wikipedia.org)
  • Aortic Dissection Aortic dissection is the surging of blood through a tear in the aortic intima with separation of the intima and media and creation of a false lumen (channel). (msdmanuals.com)
  • Aortic dissection (AD) is a lethal, treatable disruption of the aortic vessel wall. (aneskey.com)
  • Mortality associated with aortic dissection is significant at presentation and advances with every hour the lesion is left untreated. (aneskey.com)
  • Although almost all patients who have symptoms possibly caused by aortic dissection will not have aortic dissection, key features of the disease, including risk factors, pain characteristics, physical examination findings, and routine ancillary studies, allow clinicians to develop a rational approach to diagnostic testing. (aneskey.com)
  • Patients with diagnosed or strongly suspected aortic dissection require expeditious surgical evaluation, aggressive analgesia and anxiolysis, and treatment with rapid-acting, titratable agents to first lower heart rate, and then blood pressure, to specific targets. (aneskey.com)
  • Aortic dissection (AD) is among the most immediately lethal diseases in medicine, with a mortality of 1% per hour, and has effective temporizing medical therapies and a surgical cure. (aneskey.com)
  • Variants of AD include aortic intramural hemorrhage, which is a hematoma completely contained within the vessel wall, and penetrating aortic ulcer, which is a disruption in the vessel wall that usually leads not to dissection but to aneurysm. (aneskey.com)
  • Intraoperative aortic dissection in pediatric heart surgery. (johnshopkins.edu)
  • Intraoperative aortic dissection occurred in a 3-year-old-boy undergoing repair of an atrial septal defect. (johnshopkins.edu)
  • Dive into the research topics of 'Intraoperative aortic dissection in pediatric heart surgery. (johnshopkins.edu)
  • Especially, MRI has been accepted as a gold standard for the diagnosis of aortic dissection, but it is immobile and sometimes it cannot give us the information about the small intimal tear site. (e-emj.org)
  • Because of these advantages, it has been widely utilized for the evaluation of patients with aortic dissection. (e-emj.org)
  • I am a clinical cardiologist, vascular medicine specialist, and grant-funded scientist caring for individuals with aortic and extra-aortic aneurysms and dissections, spontaneous coronary artery dissection, fibromuscular dysplasia, carotid artery disease, renal artery stenosis, and peripheral artery disease, in addition to all general cardiology care. (weillcornell.org)
  • Aortic stenosis: This condition happens when the person has underlying congenital bicuspid valve, aortic sclerosis, or history of rheumatic fever. (wikipedia.org)
  • Transfemoral Transcatheter Aortic Valve Implantation (tf-TAVI) has become an established therapy-option for patients with symptomatic severe aortic stenosis. (stanford.edu)
  • Background: Bicuspid aortic valve (BAV) stenosis has been considered a relative contraindication to transcatheter aortic valve replacement (TAVR). (elsevierpure.com)
  • We compared the outcomes of TAVR in patients with BAV stenosis versus patients with trileaflet aortic valve stenosis. (elsevierpure.com)
  • Transcatheter aortic valve replacement (TAVR) has revolutionized the treatment of patients with severe aortic stenosis. (springeropen.com)
  • An 89-year-old female with advanced emphysema and known severe calcific aortic stenosis presented for evaluation of chest pain and syncope. (springeropen.com)
  • Over the past two decades, transcatheter aortic valve implantation (TAVI) has been established as a viable alternative treatment to deal with severe aortic stenosis in patients at risk of open-heart surgery. (frontiersin.org)
  • Branch pulmonary stenosis, coronary artery stenosis, and neo-aortic regurgitation are the most common complications, and careful evaluation of new symptoms or declining function is essential to prevent these long-term sequelae. (nyp.org)
  • The patient was an 80-year-old-male presenting with NYHA-III symptoms due to his severe aortic valve stenosis. (annalscts.com)
  • We provide support in the cardiac catheterization suite for percutaneous closures of atrial and ventricular septal defects, transcatheter aortic valve replacements, stenting or aortic coarctations and management of mitral regurgitation with the mitral clip device. (massgeneral.org)
  • Transthoracic echocardiography, transesophageal echocardiography, and a cardiac CT scan revealed severe prosthetic valve regurgitation with a posterior dehiscence (≈1/3 of the circumference) associated with a rocking motion of the prosthetic valve suggesting disinsertion, without vegetations ( Figure ). (cdc.gov)
  • It is mainly limited to intraoperative imaging to assess valve positioning, expansion and detection of paravalvular aortic regurgitation (PVR) [ 4 ]. (springeropen.com)
  • This includes sizing of the the aortic annuals, implant size selection and in predicting paravalvular regurgitation (PVR). (springeropen.com)
  • No aortic regurgitation was present. (wustl.edu)
  • Three-dimensional echocardiography, cardiac CT, and MRI are becoming increasingly important in determining management strategies for tricuspid regurgitation. (nyp.org)
  • The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. (thoracickey.com)
  • Background According to the American Society of Echocardiography, coronary artery (CA) imaging is recommended in pediatric examinations to identify CA anomalies. (thoracickey.com)
  • The Society of Cardiovascular Anesthesiologists (SCA) and the American Society of Echocardiography (ASE) published a first set of guidelines for the performance of a comprehensive intraoperative TEE exam in 1999. (statpearls.com)
  • Dr. Brady currently is chair of the Society of Cardiovascular Anesthesiologists (SCA) Scientific Program Committee, holds positions on the American Society of Echocardiography (ASE) Interventional Echocardiography Council, the ASE Committee on Education, the American Society of Anesthesiologists Educational Track Subcommittee on Cardiac Anesthesia, and on the SCA Board of Directors. (hopkinsmedicine.org)
  • Dr. Brady is also a fellow of the American Society of Echocardiography and serves on the editorial board of Seminars in Cardiothoracic and Vascular Anesthesia. (hopkinsmedicine.org)
  • Transesophageal Echocardiography for Minimally Invasive. (taylorfrancis.com)
  • Cardiovascular and thoracic surgeons are trained in advanced surgical techniques, including minimally invasive procedures, which involve smaller incisions and reduced recovery times. (hcghospitals.in)
  • Despite minimally-invasive aortic valve replacement (MI-AVR) having gained interest within the cardiac surgeons' community, patient requests for interventions associated with minimized trauma and faster recovery often remains unfulfilled ( 1 ). (annalscts.com)
  • At the Lancisi Cardiovascular Center, we currently use three surgical minimally-invasive approaches to expose and replace the aortic valve: the ministernotomy, the anterior right minithoracotomy, and the trans-axillary approach. (annalscts.com)
  • Transesophageal echocardiography was used to estimate post-TAVR degree of paravalvular leak (PVL). (elsevierpure.com)
  • In the cardiac catheterization laboratory , we provide anesthesia for cardiac ablations and laser lead extractions, as well as MitraClip ®, Watchman® and transcatheter aortic valve replacement (TAVR) procedures. (wisc.edu)
  • Precise and accurate characterization of the aortic valve complex is a vital step in the procedure planning for transcatheter aortic valve replacement (TAVR). (springeropen.com)
  • Imaging modalities in TAVR are designed to accurately assess the aortic valve complex to select the appropriate size of the valve implant and create a vascular roadmap to identify potential obstacles to procedural success. (springeropen.com)
  • The role of transesophageal echocardiography (TEE) in TAVR has decreased over time. (springeropen.com)
  • The patient's society of thoracic surgeons (STS) risk score was 8.4%, making her a high-risk candidate for SAVR, so the patient was referred for TAVR evaluation. (springeropen.com)
  • Recently, the development and widespread availability of real-time 3-dimensional echocardiography has expanded the role of TEE in the guidance of complicated cardiac surgical procedures and catheter-based cardiac interventions such as transcatheter aortic valve replacements (TAVR). (statpearls.com)
  • Early Outcome in Patients Requiring Conversion to General Anesthesia During Transfemoral Transcatheter Aortic Valve Implantation. (stanford.edu)
  • In conclusion, the conversion rate to general anesthesia was low in a large cohort of unselected transcatheter aortic valve implantation patients. (stanford.edu)
  • Our team cares for patients presenting for surgical care or for complicated procedures requiring anesthesia in the Electrophysiology Laboratory, Knight Center for Interventional Cardiovascular Therapy and the Echocardiography Suite. (massgeneral.org)
  • All faculty in our division are fellowship-trained in cardiovascular and thoracic anesthesia and provide anesthesia for scheduled and emergency cardiac, thoracic and vascular surgeries, and interventional cardiology procedures. (wisc.edu)
  • Our division also provides state-of-the-art anesthesia with intensive monitoring including transesophageal and transthoracic echocardiography. (wisc.edu)
  • Our fellows experience wide-ranging, in-depth clinical experience in cardiac, thoracic, vascular and thoracic anesthesia in addition to rotations in echocardiography, critical care, pediatric congenital anesthesia and interventional cardiology procedures. (wisc.edu)
  • Dr. Brady received her undergraduate and medical degrees at Georgetown University and completed a residency in anesthesiology and a combined fellowship in cardiac anesthesia and vascular-thoracic anesthesia at Johns Hopkins. (hopkinsmedicine.org)
  • This second edition of the Transesophageal Echocardiography Multimedia Manual is a comprehensive resource and essential guide to the rapidly expanding field of perioperative transesophageal echocardiography (TEE), encompassing newer cardiac surgery techniques, more diverse surgical procedures, and use in the intensive care unit. (taylorfrancis.com)
  • Upon completion of fellowship, fellows obtain the National Board of Echocardiography Advanced Perioperative Transesophageal Echocardiography Certification. (wisc.edu)
  • She is board certified in advanced perioperative transesophageal echocardiography. (hopkinsmedicine.org)
  • Background Endovascular stenting has emerged as a treatment option for children with coarctation of the aortic (CoA), but the impact on left ventricular (LV) function has been poorly documented. (thoracickey.com)
  • REBOA should be available on-scene and applied by well-trained vascular surgery personnel to control vascular complications or extend to emergency laparotomy and thoracotomy with aortic cross-clamping in case of in-hospital non-controllable hemorrhages. (frontiersin.org)
  • Echocardiography During Cardiac Surgery. (taylorfrancis.com)
  • Perioperative Evaluation of Aortic Valve Surgery. (taylorfrancis.com)
  • TEE in Lung Transplantation and Thoracic Surgery. (taylorfrancis.com)
  • Treatment for a thoracic aneurysm may include surgery to fix or remove the aneurysm. (baptisthealth.net)
  • Cardiac procedures include coronary artery bypass surgery, valve surgery, heart transplants, ventricular assist devices and ascending aortic aneurysms/dissections. (wisc.edu)
  • We are a major center for complex aortic surgery. (wisc.edu)
  • In Aortic Arch Surgery: Principles, Strategies and Outcomes (pp. 297-306). (elsevierpure.com)
  • Finally, AD may be caused by lesions of the aortic valve itself, such as bicuspid aortic valve, aortic valve instrumentation or aortic surgery, and syphilitic aortitis. (aneskey.com)
  • We have state of art catheter laboratory and skilled staff to do cardiac catheter interventions in children including closure of common heart defects without surgery such PDA, VSD, ASD, balloon dilatation of aortic valve, pulmonary valve and intervention in new born. (zulekhahospitals.com)
  • The cardiac team at Methodist Richardson includes specialists in cardiology, cardiothoracic surgery, general thoracic surgery, and vascular surgery. (methodisthealthsystem.org)
  • Cardiovascular and thoracic surgery is a specialty that deals with surgical procedures involving the heart, lungs, and other organs in the chest. (hcghospitals.in)
  • The goal of cardiovascular and thoracic surgery is to improve the health and quality of life of patients with heart and lung conditions, and to reduce the risk of serious complications, such as heart attack or stroke. (hcghospitals.in)
  • Yes, you may have scars after Cardiovascular and Thoracic Surgery. (hcghospitals.in)
  • Like any surgery, there are risks and complications associated with cardiovascular or thoracic procedures, which will be discussed with you in detail prior to the surgery. (hcghospitals.in)
  • How long is the recovery period after cardiovascular or thoracic surgery? (hcghospitals.in)
  • The recovery period after cardiovascular or thoracic surgery varies depending on the procedure, but typically ranges from a few weeks to a couple of months. (hcghospitals.in)
  • Our experience with the MI trans-axillary direct approach in mitral valve surgery (MVS) ( 4 ) led us to consider that the aortic valve could be nicely exposed from the same approach. (annalscts.com)
  • Aybek T, Dogan S, Moritz A. Valve Sparing Surgery Using of a Neosinus For Aortic Root Aneurysms . (tayfunaybek.com)
  • The aim of this study was to test the feasibility of the assessment of right ventricular (RV) volumes and function using real-time three-dimensional (3D) transesophageal echocardiographic (TEE) imaging in patients undergoing cardiac surgery. (thoracickey.com)
  • Diagnosis is made by CT angiography or transesophageal echocardiography (TEE). (msdmanuals.com)
  • We provide comprehensive imaging and diagnostic services such as electrocardiogram, trans-thoracic and trans-esophageal echocardiography, cardiac CT scan, cardiac MRI, diagnostic cardiac catheterization and angiography. (zulekhahospitals.com)
  • The diagnostic equipment includes 3 Tesla MRI, 128 slice CT Angiography, two treadmill machines, 2 latest 2-D Color Doppler Echocardiography machines, Holter monitoring systems, Ambulatory blood-pressure monitoring equipment, and state of the art Pulmonary Function test lab. (ckbirlahospitals.com)
  • REBOA procedures carrying life-threatening risks such as arterial access complications, organ ischemia, vascular trauma, and time loss ( 2 ) should be critically evaluated in addition to resuscitative laparotomy, thoracotomy with aortic cross-clamping, or manual aortic compression. (frontiersin.org)
  • From coronary artery bypass to the placement of ventricular assist devices, Broward Health's heart, vascular, and thoracic surgical specialists treat the most complex heart conditions - so you can get back to the life you love. (browardhealth.org)
  • Results: Mean ± standard deviation Society of Thoracic Surgeons risk was 6.01 ± 3.42 in the BAV group and 6.08 ± 3.76 in the TAV group (P = 0.92). (elsevierpure.com)
  • The Society of Thoracic Surgeons Predicted Risk of Mortality scores were higher in the TAMVI group (median: 9.52) than in the SRMVR group (median: 5.59) ( p -value = 0.02). (frontiersin.org)
  • An estimated 1.5% to 2% of all patients sustaining blunt thoracic trauma have a blunt aortic injury (BAI). (your-doctor.net)
  • Sudden, severe pain linked to a thoracic aneurysm may be a sign of a life-threatening medical emergency. (baptisthealth.net)
  • When aortic injury occurs in a child it is most commonly seen at the level of the ligamentum arteriosus and is usually associated with severe deceleration forces. (cmaj.ca)
  • These thoracic surgeries are performed to treat a range of conditions. (hcghospitals.in)
  • How experienced is the surgeon in performing cardiovascular or thoracic surgeries? (hcghospitals.in)
  • The surgeon performing cardiovascular or thoracic surgeries is highly experienced, having completed numerous successful procedures in their specialty. (hcghospitals.in)
  • The anteriorly located abscess, retrospectively, was shadowed by the heavily calcified aortic valve on the TEE. (acc.org)
  • The main risk factor for this type of injury is a mechanism that involves a rapid deceleration event, with the most common cause being involvement in a motor vehicle collision (Answer A). The majority of blunt thoracic aortic injuries occur at the aortic isthmus, or just distal to the left subclavian. (your-doctor.net)
  • During each cycle of chest compression, the mitral valve closed during compression and opened during relaxation, and the aortic valve opened during compression and closed during relaxation. (wustl.edu)
  • Under Dr Brady's directorship, the Johns Hopkins cardiac anesthesiology team provides real-time interventional echocardiography guidance for structural heart procedures including percutaneous mitral, aortic and tricuspid valve repair/replacements - as well as for left atrial appendage procedures. (hopkinsmedicine.org)
  • Zierer A, Detho F, Dzemali O, Aybek T, Moritz A, Bakhtiary F. Antegrade cerebral perfusion with mild hypothermia for aortic arch replacement: single-center experience in 245 consecutive patients. (tayfunaybek.com)
  • The aortic arch forms 2 curvatures, one with its convexity upward and the other with its convexity forward and to the left. (medscape.com)
  • During her Fellowship, she trained under Dr. Mary J. Roman and Dr. Richard B. Devereux, with a special emphasis on the clinical and imaging evaluation of individuals with aortic diseases. (weillcornell.org)
  • however, this term is discouraged because it is both inaccurate and conflates AD with aortic aneurysm, a distinct clinical entity. (aneskey.com)
  • Chest radiograph (anteroposterior) taken several hours following the trauma, showing an apparent widened mediastinum with loss of the aortic knob contour (arrows). (cmaj.ca)
  • A widened mediastinum in trauma patients should be considered an aortic injury until proven otherwise. (cmaj.ca)
  • Bliss D, Silen M. Pediatric thoracic trauma. (cmaj.ca)
  • Their review, published in the August 9, 2018 issue of Current Treatment Options in Cardiovascular Medicine , suggests that 2D and 3D transesophageal echocardiography for reconstruction are becoming increasingly important tools for surgical and transcatheter interventions. (nyp.org)
  • however, aortography is still the preferred modality for the preoperative evaluation of thoracic aortic aneurysms and for precise definition of the anatomy of the aneurysm and great vessels. (medscape.com)
  • Treatment is immediate surgical evaluation, aggressive symptom relief, and reduction of the force of blood against the aortic wall by control of heart rate, followed by blood pressure. (aneskey.com)
  • A transesophageal echocardiography (TEE) probe was placed and a thorough echocardiographic evaluation was performed. (annalscts.com)
  • Considering that the initial TEE was not confirmatory for IE nor for aortic root abscess, what would have been the best approach to rule out an infection of the aortic root/annulus? (acc.org)
  • The aortic cusps were removed and the annulus decalcified. (annalscts.com)
  • The aortic annulus was measured and a 23 mm Intuity Elite™ RD valve was implanted in the usual fashion. (annalscts.com)
  • An automatic pullback IVUS run at a speed of 0.5 mm/s from the left ventricular outflow tract (LVOT) to the aortic root was undertaken. (springeropen.com)
  • Transthoracic echocardiography showed preserved left ventricular ejection fraction and a positive microbubble test result. (biomedcentral.com)
  • TEE is able to provide excellent ultrasonic imaging compared to transthoracic echocardiography (TTE) because of the proximal location of the esophagus next to the heart and great vessels, and avoidance of the lungs and ribs as impediments to imaging. (statpearls.com)
  • The surface echocardiogram was followed by a transesophageal echocardiogram (TEE) that confirmed the former and identified mild-to-moderate aortic insufficiency but, again, could not identify a vegetation nor any obvious complication of infective endocarditis (IE). (acc.org)
  • We report a case of Mycoplasma genitalium endocarditis in a prosthetic heart valve of a woman who sought care in Switzerland for acute aortic valve dysfunction 3 years after valve replacement. (cdc.gov)
  • Even though later cultures were negative and transesophageal echo did not indicate endocarditis, a low-grade fever was still running. (biomedcentral.com)
  • Transesophageal echocardiography was useful for the diagnosis, and conservative medical treatment under close observation was feasible in this case which involved a limited intimal tear. (johnshopkins.edu)
  • Many thoracic aneurysms are readily visible on chest radiographs. (medscape.com)
  • Aortic calcification may outline the borders of the aneurysm in the anterior, posterior, and lateral views in both the chest and abdomen. (medscape.com)
  • Transthoracic echocardiography (TTE) is restricted in patients with abnormal chest wall configuration, narrow intercostal spaces, and obesity, and these limitations are usually overcome by TEE. (medscape.com)
  • A chest radiograph taken with the patient in a supine position showed a widened mediastinum with loss of the aortic knob contour ( Figure 1 ). (cmaj.ca)
  • 1 The signs of aortic injury on a chest radiograph include mediastinal widening, loss of the aortic knob contour, depression of the left main bronchus, deviation of the trachea or esophagus, left pleural cap, hemothorax and fracture of the first or second rib. (cmaj.ca)