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Visualization of Pattern Flow in Abdominal Arteries by Transgastric Echocardiography After Aortic Dissection Repair
Author(s) -
IUS PAOLO,
SALVADOR LORIS,
ROCCO FRANCESCO,
ROS ANTONIA DA,
BELLI PAOLA,
ROSI PAOLO,
VALFRE‘ CARLO
Publication year - 1994
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.1540-8175.1994.tb01098.x
Subject(s) - medicine , aortic dissection , dissection (medical) , radiology , lumen (anatomy) , trunk , cardiology , surgery , aorta , biology , ecology
The persistence of false lumen after surgical repair of aortic dissection is frequent. This event has a negative impact on the prognosis and is secondary to the persistence of unrepaired entry sites and of dissected major aortic branches. We describe three cases in which visualization of a dissected celiac trunk with an anomalous flow pattern was possible with transesoghageal echocardiography. Two of these cases died in the early postoperative period and the echo findings were confirmed at necropsy. We suggest that visualization of anomalous pattern flow in the celiac trunk is of prognostic relevance because it plays a major role in mantaining the false lumen persistence and, therefore, should be part of the routine examination after surgical repair of aortic dissection.