Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/11966
Title: Intraoperative transoesophageal echocardiographic diagnosis and successful management of mycotic aortitis and pseudoaneurysm.
Authors: Tan, Chong Oon;Weinberg, Laurence;Pillai, Parameswan;Fernandes, Jon
Affiliation: Department of Anaesthesia, Austin Health, Heidelberg, Victoria, Australia.
Issue Date: 22-Nov-2013
Citation: Bmj Case Reports 2013; 2013(): 200675
Abstract: A 38-year-old intravenous drug using man was scheduled for urgent pericardial window surgery to treat pericardial effusion and tamponade. Transoesophageal echocardiography (TOE) during the procedure revealed a minor residual effusion and an atypical heterogenous thickened appearance of the pericardium and adjoining aortic root. Interrogation of the aortic valve with a 'panning' manoeuvre from the mid-oesophageal aortic valve short axis view showed a small hypoechoic lesion between the right and non-coronary cusp at the level of the sinus of Valsalva. Postoperative high-resolution contrast CT confirmed the anaesthesia TOE findings of a small pseudoaneurysm. The decision was then made to proceed to formal aortic root replacement after 5 days of directed antibiotic therapy and evidence of an increase in aneurysm size to 2.7 cm on repeat CT angiogram. The patient made a good postoperative recovery and was eventually discharged from the hospital 3 weeks after his second operation.
Internal ID Number: 24273009
URI: http://ahro.austin.org.au/austinjspui/handle/1/11966
DOI: 10.1136/bcr-2013-200675
URL: http://www.ncbi.nlm.nih.gov/pubmed/24273009
Type: Journal Article
Subjects: Adult
Aneurysm, False.complications.surgery.ultrasonography
Aneurysm, Infected.complications.surgery.ultrasonography
Angiography.methods
Aorta, Thoracic
Aortic Valve.physiopathology.surgery.ultrasonography
Aortitis.complications.surgery.ultrasonography
Cardiac Tamponade.etiology.physiopathology.surgery
Echocardiography, Transesophageal
Follow-Up Studies
Heart Valve Prosthesis Implantation.methods
Humans
Intraoperative Care.methods
Male
Pericardial Effusion.etiology.physiopathology.surgery
Risk Assessment
Severity of Illness Index
Tomography, X-Ray Computed.methods
Treatment Outcome
Appears in Collections:Journal articles

Files in This Item:
There are no files associated with this item.


Items in AHRO are protected by copyright, with all rights reserved, unless otherwise indicated.