| Mobile atheromatous plaque of the aortic arch diagnosed by transthoracic echocardiography prior to coronary artery bypass surgery. Which one would you choose: scepticism or wishful thinking? | |
| | |
MedLine Citation:
|
PMID: 21713312 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
A routine pre-operative chest X-ray of a patient admitted to our institution for an elective coronary artery bypass operation revealed a mildly dilated mediastinal silhouette, which led the cardiovascular surgery resident to schedule emergency transthoracic echocardiography (TTE), with a special note asking for detailed evaluation of the ascending aorta and aortic arch. TTE revealed a mobile atheroma at the aortic arch, which obliged the cardiac surgery team to modify their strategy to combined hemi-arcus aortae replacement and coronary artery bypass grafting (CABG). Although with transoesophageal echocardiography (TEE) a small portion of the ascending aorta may be obscured by the trachea, TEE provides higher resolution images than TTE. Therefore one can conclude that TEE is the imaging modality of choice for detecting aortic atheromatous plaques but in patients with low risk for stroke and aortic atheromas, a detailed TTE may be sufficient for the pre-operative assessment. |
| | |
Authors:
|
A C Hatemi; O Omay; M Baskurt; S Kücükoglu; B Oz; K Süzer |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-6-28 |
Journal Detail:
|
Title: Cardiovascular journal of Africa Volume: 22 ISSN: 1995-1892 ISO Abbreviation: - Publication Date: 2011 Jun |
Date Detail:
|
Created Date: 2011-6-29 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101313864 Medline TA: Cardiovasc J Afr Country: - |
Other Details:
|
Languages: ENG Pagination: 1-3 Citation Subset: - |
Affiliation:
|
Department of Cardiovascular Surgery, Institute of Cardiology, Istanbul University, Istanbul, Turkey. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Once fat was fat and that was that: our changing perspectives on adipose tissue.
Next Document: Computational intelligence in early diabetes diagnosis: a review.