PMC4394058_01
Intraoperative echocardiography before surgical repair: the short-axis view of the aortic tube graft in the ascending aorta with a large pseudoaneurysm surrounding the tube graft. The estimated diameter of the pseudoaneurysm is about 7 cm, compared with the 2.75 cm diameter of the tube graft
jthc-9-183f1.jpg
PMC4394058_01_jthc-9-183f1.jpg
F1
Furthermore, there was a continuous flow between this echo-free space and the RA with a small connection (3 mm), indicative of the fistulization of the pseudoaneurysm to the RA (Figures 1 and 2).
Intraoperative echocardiography before surgical repair: the off-axis view of transesophageal echocardiography demonstrates the color flow of the pseudoaneurysm fistulizing to the right atrium with a continuous flow via a small orifice, estimated to about 6mm in size (arrow). RA, Right atrium
jthc-9-183f2.jpg
PMC4394058_01_jthc-9-183f2.jpg
F2
Furthermore, there was a continuous flow between this echo-free space and the RA with a small connection (3 mm), indicative of the fistulization of the pseudoaneurysm to the RA (Figures 1 and 2).
Intraoperative echocardiography after surgical repair: the long-axis view of the aorta (tube graft with a bileaflet mechanical aortic prosthesis) with normal functioning and no evidence of residual pseudoaneurysm or leakage from the tube graft. AV, Aortic valve LV, Left ventricle
jthc-9-183f3.jpg
PMC4394058_01_jthc-9-183f3.jpg
F3
The patient was weaned off from CPB easily, and intraoperative TEE revealed the perfect result of the surgery (Figure 3).