Type "A" aortic dissection post heart cannulation in a patient with a prior Type "B" dissection. скачать в хорошем качестве

Type "A" aortic dissection post heart cannulation in a patient with a prior Type "B" dissection.

Female patient admitted for coronary artery bypass grafting done while on cardiopulmonary bypass support. Had history of hypertension, and a chronic Type “B” aortic dissection. After standard heart cannulation (ascending aortic cannula, right atrial appendage drainage cannula) and initiation of cardiopulmonary bypass the following findings in the ascending aorta were noted on TEE… Abbreviations in order of occurrence in the video: RA = Right Atrium; RV = Right Ventricle; LA = Left Atrium; LV = Left Ventricle; TV = Tricuspid Valve; MV = Mitral Valve; LVOT = Left Ventricular Outflow Tract; AV = Aortic Valve; RVOT = Right Ventricular Outflow Tract; RUPV = Right Upper Pulmonary Vein; RPA = Right Pulmonary Artery; SVC = Superior Vena Cava; AA = Ascending Aorta; PA = Pulmonary Artery.