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• W2023741275 abstract "THE MORBIDITY AND MORTALITY OF elective repair of an ascending aortic aneurysm remain significant, despite new diagnostic and surgical approaches. 1 Kouchoukos N.T. Dougenis D. Surgery of the thoracic aorta. N Engl J Med. 1997; 336: 1876-1888 Crossref PubMed Scopus (379) Google Scholar , 2 Czerny M. Fleck T. Grabenwoger M. et al. Risk factors of mortality and permanent neurologic injury in patients undergoing ascending aortic and arch repair. J Thorac Cardiovasc Surg. 2003; 126: 1296-1301 Abstract Full Text Full Text PDF PubMed Scopus (85) Google Scholar Over the past 5 decades, multiple improvements have been developed for ascending aortic aneurysm repair. 3 Hopkins R.A. Aortic valve leaflet sparing and salvage surgery: Evolution of techniques for aortic root reconstruction. Eur J Cardiothorac Surg. 2003; 24: 886-897 Crossref PubMed Scopus (62) Google Scholar , 4 Sioris T. David T.E. Feindel C.M. et al. Clinical outcomes after separate and composite replacement of the aortic valve and ascending aorta. J Thorac Cardiovasc Surg. 2004; 128: 260-265 Abstract Full Text Full Text PDF PubMed Scopus (93) Google Scholar , 5 Karck M. Kallenbac K. Haverich A. et al. Aortic root surgery in Marfan syndrome: Comparison of aortic valve-sparing reimplantation versus composite grafting. J Thorac Cardiovasc Surg. 2004; 127: 391-398 Abstract Full Text Full Text PDF PubMed Scopus (120) Google Scholar Although the risk factors for morbidity and mortality in patients undergoing ascending aortic aneurysm repair have been extensively studied, the potential complications associated with the technical aspects of ascending aortic aneurysm repair easily can be overlooked or underreported. 6 Mesana T.G. Caus T. Monties J.R. et al. Late complication after prosthetic replacement of the ascending aorta: What did we learn from routine magnetic resonance imaging follow-up?. Eur J Cardiothorac Surg. 2000; 18: 313-320 Crossref PubMed Scopus (47) Google Scholar , 7 Prifti E. Bonacchi M. Sani G. et al. Early and long-term outcome in patients undergoing aortic root replacement with composite graft according to the Bentall's technique. Eur J Cardiothorac Surg. 2002; 21: 15-21 Crossref PubMed Scopus (44) Google Scholar , 8 Davila-Roman V. Murphy S.F. Barzilai B. et al. Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality. J Am Coll Cardiol. 1999; 33: 1308-1316 Abstract Full Text Full Text PDF PubMed Scopus (150) Google Scholar , 9 Estera A.L. Miller C.C. Safi H.Z. et al. Replacement of the ascending and transverse aortic arch: Determinants of long-term survival. Ann Thorac Surg. 2002; 74: 1058-1065 Abstract Full Text Full Text PDF PubMed Scopus (46) Google Scholar With rapidly changing surgical techniques, intraoperative transesophageal echocardiography (TEE) has become an invaluable diagnostic modality in these settings. TEE provides immediate and real-time feedback to anesthesiologists and surgeons. 10 Joffe I.I. Jacobs L.E. Kotler M.N. et al. Role of echocardiography in perioperative management of patients undergoing open-heart surgery. Am Heart J. 1996; 131: 162-176 Abstract Full Text PDF PubMed Scopus (22) Google Scholar , 11 Fanshawe M. Ellis C. Reich D. et al. A retrospective analysis of the costs and benefits related to alterations in cardiac surgery from routine intraoperative transesophageal echocardiography. Anesth Analg. 2002; 95: 824-827 PubMed Google Scholar The authors report 3 ascending aortic aneurysm cases in which a variety of TEE imaging techniques identified 3 different forms of surgical repair failure. Because of earlier detection by TEE, the authors were able to alter the surgical approach and guide 3 different improvements in surgical repair, which removed the need for reoperation surgery secondary to the potential complication." @default.
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• W2023741275 title "Intraoperative Transesophageal Echocardiography Alters the Surgical Course for Patients Undergoing Ascending Aortic Aneurysm Repair" @default.
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