Article Text

Download PDFPDF
CASE REPORT
Thromboatheromatous coarctation of the aorta diagnosed with intraoperative TOE during emergent open aneurysm clipping
  1. John S McNeil,
  2. Amanda M Kleiman,
  3. Edward C Nemergut,
  4. Julie L Huffmyer
  1. Anesthesiology, University of Virginia, Charlottesville, Virginia, USA
  1. Correspondence to Dr John S McNeil, jsm6j{at}hscmail.mcc.virginia.edu

Summary

A woman in her 50s presenting for emergent intracranial surgery was discovered to have a large incongruity in blood pressure between her right arm and her other extremities. Intraoperative rescue transoesophageal echocardiography (TOE) revealed a large thromboatheromatous burden in her descending aorta resulting in a functional coarctation. Usually diagnosed via CT imaging, we present what we believe to be the first published case diagnosed intraoperatively using TOE. After the diagnosis was made, blood pressure goals were adjusted to provide sufficient perfusion distally and her surgery was completed otherwise uneventfully.

  • stroke
  • vascular surgery
  • neurosurgery
  • anaesthesia
  • hypertension
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors All authors provided intraoperative care and created and revised the manuscript.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.