Free aortic insufficiency by protrusion of intimal flap in aortic dissection type A

Pico-Veloso, J.; Contreras-Saiz, E.; Almendarez-Lacayo, M.; Fernández-Suárez, F.E.

doi:10.1016/j.redare.2021.03.003

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He was taken to the operating room intubated, under conscious sedation, and with antihypertensive drugs for blood pressure control. Intraoperative TEE revealed a dilated aortic root and ascending aorta, with effacement of the sinotubular junction. An intimal flap was observed protruding from the sinotubular junction up to the level of the left ventricular outflow tract in diastole, causing free aortic regurgitation due to probable lesion of a valve leaflet, corresponding to type A dissection. Acute lung oedema. Right axillary line for selective cerebral perfusion. Ascending aorta replacement and aortic valve resuspension. 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Rev Esp Anestesiol Reanim. 2021;68:175–177." ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1250 "Ancho" => 1669 "Tamanyo" => 153316 ] ] "descripcion" => array:1 [ "en" => "Long axis aortic mid-oesophageal plane, showing the intimal flap protruding through the aortic valve." ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1875 "Ancho" => 2500 "Tamanyo" => 336503 ] ] "descripcion" => array:1 [ "en" => "Long axis mid-oesophageal plane. Colour Doppler, showing free aortic regurgitation when the flap protrudes through the valve." ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1872 "Ancho" => 2500 "Tamanyo" => 273130 ] ] "descripcion" => array:1 [ "en" => "Plane showing left ventricular outflow tract and the left ventricle with the flap protruding through the aortic valve." ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 1988 "Ancho" => 2500 "Tamanyo" => 389207 ] ] "descripcion" => array:1 [ "en" => "Same plane as above, clearly showing the aortic insufficiency jet." ] ] ] ] "idiomaDefecto" => "en" "url" => "/23411929/0000006800000003/v1_202104020743/S2341192921000469/v1_202104020743/en/main.assets" "Apartado" => array:4 [ "identificador" => "70433" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23411929/0000006800000003/v1_202104020743/S2341192921000469/v1_202104020743/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2341192921000469?idApp=UINPBA00004N"]

ISSN: 2341-1929

Revista Española de Anestesiología y Reanimación (REDAR) -the Spanish Journal of Anesthesiology and Resuscitation- is the scientific body of the Spanish Society of Anesthesiology, Resuscitation and Pain Therapy. This is a monthly journal (10 issues) that publishes scientific articles of all areas within its specialty: clinical anesthesia, resuscitation-intensive medicine and critical care, diagnosis and treatment of acute and chronic pain, urgent care and emergencies and studies on basic science and related fields. The journal accepts work in both Spanish and English.

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Vol. 68. Issue 3.