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A 59-year-old male who underwent the Bentall procedure developed a newly identified echogenic mass in the right heart, detected via intraoperative transesophageal echocardiography (TEE). Thrombectomy under TEE guidance successfully removed the thrombus, and the patient recovered well. TEE was crucial for the real-time detection and management of this rare complication.
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http://dx.doi.org/10.1111/echo.70138 | DOI Listing |
Eur Heart J Case Rep
September 2025
Division of Cardiovascular Medicine, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Centre, 2002-7, Isou, Hikami-cho, Tamba, Hyogo 669-3495, Japan.
Background: Traumatic mitral regurgitation (MR) is an exceptionally rare complication associated with blunt chest trauma, particularly following relatively low-impact injuries. In the critical and chaotic settings of polytrauma, its diagnosis is often delayed and can easily be overlooked. This oversight can lead to progressive haemodynamic deterioration and, ultimately, fatal outcomes.
View Article and Find Full Text PDFCureus
July 2025
Cardiovascular Surgery, Kushiro City General Hospital, Kushiro, JPN.
A 65-year-old man presented with Stanford type B aortic dissection complicated by rupture of the distal aortic arch, originating from the false lumen. Due to the short distance between the supra-aortic branches, the lack of peripheral access from malperfusion, and the invasiveness of combined arch and descending aortic replacement via left thoracotomy, emergency total arch replacement with a frozen elephant trunk was chosen to close the primary entry and control the rupture. However, intraoperative deployment of the prosthesis into the false lumen was suspected due to increasing bleeding and transesophageal echocardiographic findings.
View Article and Find Full Text PDFAnaesthesiologie
August 2025
Abteilung für Anästhesiologie und Intensivmedizin, Herzzentrum Leipzig GmbH, Strümpellstraße 39, 04289, Leipzig, Deutschland.
Background: Since the introduction of three-dimensional transesophageal echocardiography (3D-TEE) in 2007, the technique has been incorporated into the guidelines of both national and international societies for intraoperative and peri-interventional TEE examinations. It is recommended for most cardiac surgical procedures and interventional transcatheter interventions but the actual use in the clinical routine has not been investigated.
Objective: Despite its growing adoption, data on the clinical application of 3D-TEE remains limited.
Cureus
July 2025
Anesthesiology and Center for Outcomes Research, University of Texas Health Science Center, Houston, USA.
Heparin-induced thrombocytopenia (HIT) is a rare but serious immune-mediated complication of heparin therapy, often resulting in thrombotic events despite adequate anticoagulation. Rapid-onset HIT is a particularly severe variant that occurs within 24 hours of re-exposure to heparin in sensitized individuals with circulating anti-platelet factor 4 (PF4)/heparin antibodies. Although rare, its potential for rapid progression and fatal outcomes necessitates a high index of clinical suspicion, especially in perioperative settings involving routine heparin use.
View Article and Find Full Text PDFJ Cardiovasc Comput Tomogr
August 2025
Barts Heart Centre, London, UK; Queen Mary, University of London, UK.
Background: Prosthetic valve infective endocarditis (PVE) is one of the most severe complications after valve implantation. Early diagnosis and identification of paravalvular complications are essential to determine optimal timing of surgery. Our aim is to assess the diagnostic performance of Computed Tomography Coronary Angiography (CTCA) versus Transoesophageal echocardiography (TOE) for the detection of valvular and paravalvular complications of PVE against the reference standard of surgical inspection.
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