The Hostile Thoracic Aorta: Management Considerations for Severe Aortic Atheroma in a Challenging Case of Coronary Artery Bypass Grafting and Mitral Valve Replacement

Rohesh J Fernando; Sean D Johnson; John G Augoustides; Prakash A Patel; Jacob T Gutsche; Bao Ha; Jared W Feinman; Stuart J Weiss; Sreekanth Cheruku; Sharon L McCartney; Nisha Dave; Michael Fabbro; Benjamin N Morris

doi:10.1053/j.jvca.2018.03.022

The Hostile Thoracic Aorta: Management Considerations for Severe Aortic Atheroma in a Challenging Case of Coronary Artery Bypass Grafting and Mitral Valve Replacement

J Cardiothorac Vasc Anesth. 2019 Jan;33(1):223-231. doi: 10.1053/j.jvca.2018.03.022. Epub 2018 Mar 15.

Authors

Affiliations

¹ Cardiothoracic Section, Department of Anesthesiology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.
² Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: yiandoc@hotmail.com.
³ Cardiovascular and Thoracic Section, Department of Anesthesiology and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
⁴ Divisions of Cardiothoracic and Critical Care Anesthesiology, Department of Anesthesiology, University of Texas Southwestern Medical Center, Dallas, TX.
⁵ Divisions of Cardiothoracic and Critical Care Anesthesiology, Department of Anesthesiology, Duke University, Durham, NC.
⁶ Department of Anesthesiology, Perioperative Medicine and Pain Management, Miller School of Medicine, University of Miami, Miami, FL.
⁷ Cardiothoracic Anesthesiology, Department of Anesthesiology, Perioperative Medicine and Pain Management, Miller School of Medicine, University of Miami, Miami, FL.
⁸ Cardiothoracic and Critical Care Sections, Department of Anesthesiology, Wake Forest School of Medicine, Wake Forest University, Winston-Salem, NC.

PMID: 29685800
DOI: 10.1053/j.jvca.2018.03.022

No abstract available

Keywords: cardiopulmonary bypass; cerebral oximetry; coronary artery bypass grafting; embolism; epiaortic ultrasound; intensive care unit; intra-aortic balloon pump; low cardiac output syndrome; mechanical circulatory support; mobile atheroma; near-infrared spectroscopy; porcelain aorta; structured hand-off; thoracic aorta; transcranial Doppler; transesophageal echocardiography; valve replacement.

Publication types

Case Reports
Video-Audio Media

MeSH terms

Aorta, Thoracic*
Aortic Diseases / complications
Aortic Diseases / diagnosis
Aortic Diseases / therapy*
Coronary Artery Bypass*
Coronary Artery Disease / complications
Coronary Artery Disease / diagnosis
Coronary Artery Disease / surgery*
Echocardiography, Transesophageal
Electrocardiography
Humans
Intra-Aortic Balloon Pumping
Male
Middle Aged
Mitral Valve / surgery*
Mitral Valve Insufficiency / complications*
Mitral Valve Insufficiency / diagnosis
Mitral Valve Insufficiency / surgery
Plaque, Atherosclerotic / complications
Plaque, Atherosclerotic / diagnosis
Plaque, Atherosclerotic / therapy*