Anesthetic experience of using the intraoperative transesophageal echocardiography in endovascular stent graft placement of descending thoracic aortic aneurysm: A case report.
- Author:
Ki Hwa LEE
1
;
Ji Yeon KIM
;
Sang Il LEE
;
Kyeong Tae KIM
;
Won Ju CHOI
;
Jang Su PARK
;
Jeong Won KIM
;
Chang Yeong KIM
;
Woo Ik JANG
Author Information
1. Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University, Goyang, Korea. jy67925@naver.com
- Publication Type:Case Report
- Keywords:
Descending thoracic aortic aneurysm;
Endovascular stent graft;
Transesophageal echocardiography
- MeSH:
Anesthesia, General;
Angiography;
Aorta, Thoracic;
Aortic Aneurysm, Thoracic;
Echocardiography, Transesophageal;
Endoleak;
Humans;
Stents;
Transplants
- From:Anesthesia and Pain Medicine
2010;5(2):138-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Endovascular stent graft placement is a minimally invasive technique that can be applied to treat many diseases of the descending thoracic aorta. For accurate stent graft placement, clear identification of aortic lesion is important and transesophageal echocardiography (TEE) is an ideal imaging tool for descending thoracic aortic aneurysms. Also TEE is able to detect a perigraft leak that cannot be confirmed by angiography. Unlike angiography, TEE image acquisition capability is not dependent on nephrotoxic contrast dye. The analysis of perioperative cardiac function provided by TEE may be helpful in the perioperative anesthetic management. Furthermore, the tip of the transesophageal echocardiographic probe can be used as a marker to guide stent graft positioning. We report a case of endovascular stent graft placement using TEE in a patient with descending thoracic aortic aneurysm under general anesthesia.
