PMC4900401_01
(a and b) Mid-esophageal aortic valve short axis view on transesophageal echocardiography giving the impression of left atrial shadow
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F1
Review TEE demonstrated left atrial (LA) chamber deformation that was initially considered an intra-atrial lesion [Figure 1].
(a and b) Mid-esophageal long axis view and mid-esophageal aortic valve short axis view on transesophageal echocardiography showing lesion of homogenous echogenicity surrounding the aortic root
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F2
The lesion measured 4.0 cm x 1.5 cm and was of homogenous echogenicity [Figure 2].
Mid-esophageal long axis view on transesophageal echocardiography with color Doppler showing the absence of blood flow through the lesion
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F3
On color Doppler evaluation, no vascularity was detected in the lesion, thus ruling out aortic root dissection [Figure 3].
Hematoma seen at the posterior aspect of aortic root on direct palpation
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F4
After direct inspection and palpation, the lesion was found to be a hematoma at the posterior aortic wall [Figure 4] which was encroaching the LA dorsally leading to an impression of the intra-atrial lesion in various views of TEE.
Postoperative day 1 review transthoracic echocardiographic five chamber view showing reduction in the size of hematoma compared to immediate postoperative size
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F5
Review transthoracic echocardiography revealed a reduction in the size of hematoma to 3.2 cm x 1.5 cm [Figure 5].