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Occlusion of the right subclavian artery after insertion of a transesophageal echocardiography probe in an adult with a vascular ring -A case report-.

Park SY, Kim DH, Joe HB, Park SK, Hwang JH, Hong YW - Korean J Anesthesiol (2010)

Bottom Line: Intraoperative transesophageal echocardiography (TEE) has become an important monitoring device for patients undergoing cardiac or noncardiac surgery.Complications associated with TEE are unusual, but the potential for TEE probe compression of the posterior vascular structures has been reported in pediatric patients.We present here a case of occlusion of the right subclavian artery in an adult patient with a vascular ring after insertion of a TEE probe.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea.

ABSTRACT
Intraoperative transesophageal echocardiography (TEE) has become an important monitoring device for patients undergoing cardiac or noncardiac surgery. Complications associated with TEE are unusual, but the potential for TEE probe compression of the posterior vascular structures has been reported in pediatric patients. We present here a case of occlusion of the right subclavian artery in an adult patient with a vascular ring after insertion of a TEE probe.

No MeSH data available.


Related in: MedlinePlus

Angiography of the aortic arch shows delayed visualization of the aberrant right subclavian artery (arrow).
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Figure 2: Angiography of the aortic arch shows delayed visualization of the aberrant right subclavian artery (arrow).

Mentions: A 75-year-old, 155 cm, 53 kg female patient presented for off-pump coronary artery bypass graft surgery. As a preoperative test, a coronary angiography was performed. The results revealed 86% stenosis of the left anterior descending artery, 83% stenosis of the left circumflex artery and 91% stenosis of the right coronary artery. The aortography revealed that only the right common carotid artery was aberrant in the aortic arch. The branching of the right subclavian artery could not be checked (Fig. 1), but delayed imaging of the right subclavian artery was observed (Fig. 2). ECG and other tests did not reveal other abnormal findings and there were no symptoms of dysphagia or respiratory difficulty.


Occlusion of the right subclavian artery after insertion of a transesophageal echocardiography probe in an adult with a vascular ring -A case report-.

Park SY, Kim DH, Joe HB, Park SK, Hwang JH, Hong YW - Korean J Anesthesiol (2010)

Angiography of the aortic arch shows delayed visualization of the aberrant right subclavian artery (arrow).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2966712&req=5

Figure 2: Angiography of the aortic arch shows delayed visualization of the aberrant right subclavian artery (arrow).
Mentions: A 75-year-old, 155 cm, 53 kg female patient presented for off-pump coronary artery bypass graft surgery. As a preoperative test, a coronary angiography was performed. The results revealed 86% stenosis of the left anterior descending artery, 83% stenosis of the left circumflex artery and 91% stenosis of the right coronary artery. The aortography revealed that only the right common carotid artery was aberrant in the aortic arch. The branching of the right subclavian artery could not be checked (Fig. 1), but delayed imaging of the right subclavian artery was observed (Fig. 2). ECG and other tests did not reveal other abnormal findings and there were no symptoms of dysphagia or respiratory difficulty.

Bottom Line: Intraoperative transesophageal echocardiography (TEE) has become an important monitoring device for patients undergoing cardiac or noncardiac surgery.Complications associated with TEE are unusual, but the potential for TEE probe compression of the posterior vascular structures has been reported in pediatric patients.We present here a case of occlusion of the right subclavian artery in an adult patient with a vascular ring after insertion of a TEE probe.

View Article: PubMed Central - PubMed

Affiliation: Department of Anesthesiology and Pain Medicine, Ajou University of College of Medicine, Suwon, Korea.

ABSTRACT
Intraoperative transesophageal echocardiography (TEE) has become an important monitoring device for patients undergoing cardiac or noncardiac surgery. Complications associated with TEE are unusual, but the potential for TEE probe compression of the posterior vascular structures has been reported in pediatric patients. We present here a case of occlusion of the right subclavian artery in an adult patient with a vascular ring after insertion of a TEE probe.

No MeSH data available.


Related in: MedlinePlus