Erratum to: ‘Modified transesophageal echocardiography of the dissected thoracic aorta; a novel diagnostic approach’

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Abstract

Erratum Unfortunately, the original version of this article [1] contained an error. The competing interests section was published with an error. “WJK received financial support for an E-learning course and congress presentation from Medical2Market B.V. AN holds stock in Medical2Market B.V., Zwolle, the Netherlands.” should be: “WJK received financial support for an E-learning course and congress presentation from Stroke2prevent B.V. and AN holds stock in Stroke2prevent B.V., Zwolle, the Netherlands.”

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Modified transesophageal echocardiography of the dissected thoracic aorta; a novel diagnostic approach

Wouter W. Jansen Klomp, Linda M. Peelen, George Brandon Bravo Bruinsma … (2016)

Background Transesophageal echocardiography (TEE) is a key diagnostic modality in patients with acute aortic dissection, yet its sensitivity is limited by a “blind-spot” caused by air in the trachea. After placement of a fluid-filled balloon in the trachea visualization of the thoracic aorta becomes possible. This method, modified TEE, has been shown to be an accurate test for the diagnosis of upper aortic atherosclerosis. In this study we discuss how we use modified TEE for the diagnosis and management of patients with (suspected) acute aortic dissection. Novel diagnostic approach of the dissected aorta Modified TEE provides the possibility to obtain a complete echocardiographic overview of the thoracic aorta and its branching vessels with anatomical and functional information. It is a bedside test, and can thus be applied in hemodynamic instable patients who cannot undergo computed tomography. Visualization of the aortic arch allows differentiation between Stanford type A and B dissections and visualization of the proximal cerebral vessels enables a timely identification of impaired cerebral perfusion. During surgery modified TEE can be applied to identify the true lumen for cannulation, and to assure that the true lumen is perfused. Also, the innominate- and carotid arteries can be assessed for structural integrity and adequate perfusion during multiple phases of the surgical repair. Conclusions Modified TEE can reveal the “blind-spot” of conventional TEE. In patients with (suspected) aortic dissection it is thus possible to obtain a complete echocardiographic overview of the thoracic aorta and its branches. This is of specific merit in hemodynamically unstable patients who cannot undergo CT. Modified TEE can guide also guide the surgical management and monitor perfusion of the cerebral arteries. Electronic supplementary material The online version of this article (doi:10.1186/s12947-016-0071-6) contains supplementary material, which is available to authorized users.

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Author and article information

Contributors

Wouter W. Jansen Klomp: w.w.jansen.klomp@isala.nl

Journal

Journal ID (nlm-ta): Cardiovasc Ultrasound

Journal ID (iso-abbrev): Cardiovasc Ultrasound

Title: Cardiovascular Ultrasound

Publisher: BioMed Central (London )

ISSN (Electronic): 1476-7120

Publication date (Electronic): 8 September 2016

Publication date PMC-release: 8 September 2016

Publication date Collection: 2015

Volume: 14

Issue: 1

Electronic Location Identifier: 39

Affiliations

[1 ]Department of Cardiology, V2.2, ISALA, Zwolle, The Netherlands

[2 ]Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands

[3 ]Department of Anesthesiology, University Medical Center Utrecht, Utrecht, The Netherlands

[4 ]Department of Cardiothoracic Surgery, ISALA, Zwolle, The Netherlands

[5 ]MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands

[6 ]Department of (Thoracic) Anaesthesia and Intensive Care, ISALA, Zwolle, The Netherlands

Article

Publisher ID: 82

DOI: 10.1186/s12947-016-0082-3

PMC ID: 5016882

PubMed ID: 27608622

SO-VID: 7c48eb15-e74b-4a3c-9cae-60b2a2579bd6

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 1 September 2016

Date accepted : 1 September 2016

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ScienceOpen disciplines: Cardiovascular Medicine

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ScienceOpen disciplines: Cardiovascular Medicine

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