Related Experiment Video
Updated: Apr 15, 2026
08:49
Author Spotlight: Enhancing Graft Viability Assessment Through Quantitative Metrics and Innovative Reservoir Systems
Published on: August 2, 2024
1.5K
An Ascending Aortic Pseudoaneurysm: Anesthetic Challenges
Pravinkumar H Patel1, Abhishek Verma, K S Ramkiran
1Department of Cardiac Anesthesia, U.N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, India.
Annals of Cardiac Anaesthesia
|April 14, 2026
Summary
Repairing a large ascending aortic pseudoaneurysm is complex. Transesophageal echocardiography (TEE) aided surgeons in managing this challenging case, particularly during bypass weaning.
Area of Science:
- Cardiovascular Surgery
- Anesthesiology
- Medical Imaging
Background:
- Ascending aortic pseudoaneurysms pose significant surgical and anesthetic challenges due to their anatomical location.
- Repair requires careful consideration of proximity to vital structures.
Purpose of the Study:
- To present a case of a large ascending aortic pseudoaneurysm repair in a young adult.
- To highlight the difficulties in weaning from cardiopulmonary bypass.
- To emphasize the utility of transesophageal echocardiography (TEE) in managing such cases.
Main Methods:
- Surgical repair of a huge ascending aortic pseudoaneurysm.
- Management of cardiopulmonary bypass weaning.
- Intraoperative monitoring using transesophageal echocardiography (TEE).
Main Results:
- Successful surgical repair of the ascending aortic pseudoaneurysm was achieved.
- Transesophageal echocardiography (TEE) provided critical real-time information during bypass weaning.
- The case demonstrated effective management strategies for complex aortic pathology.
Conclusions:
- Ascending aortic pseudoaneurysm repair is feasible despite challenges.
- Transesophageal echocardiography (TEE) is invaluable for intraoperative management, especially during bypass weaning.
- Multidisciplinary collaboration is key in managing these complex cardiovascular surgical cases.
Related Concept Videos
01:22Aneurysm IV: Nursing Management
600
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
600
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
549
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
549
01:26Aneurysm III: Interprofessional Care
460
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
460
01:24General Anesthesia: Overview
1.1K
Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
1.1K
01:30Aneurysm I: Introduction
628
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
628
01:22Stages of General Anesthesia
2.4K
Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
2.4K