case_images: PMC8081137_01
case_images: PMC8081137_02
case_images: Mid esophageal ascending aortic long axis view - unable to visualize the dissection in the antegrade cannula site when surgeon noticed blueish discoloration
case_images: ACA-24-83-g001.jpg
case_images: PMC8081137_02_ACA-24-83-g001.jpg
case_images: F1
case_images: Immediate TEE assessment could not visualize the cardioplegia cannulation site in the mid-ascending aorta due to a slightly dilated aortic root causing changes in structural anatomy [Figure 1]. Alternatively, an epi-aortic ultrasound probe was used immediately which confirmed an aortic dissection at the antegrade cardioplegia cannula site using the short-axis mid ascending aorta view [Figure 2 and Video 1].
case_images: Epi-aortic ultrasound short-axis view of proximal ascending aorta - able to demonstrate dissection in the ascending aorta
case_images: ACA-24-83-g002.jpg
case_images: PMC8081137_02_ACA-24-83-g002.jpg
case_images: F2
case_images: Alternatively, an epi-aortic ultrasound probe was used immediately which confirmed an aortic dissection at the antegrade cardioplegia cannula site using the short-axis mid ascending aorta view [Figure 2 and Video 1].
case_images: Mid esophageal ascending aortic long-axis view - able to visualize the dissection after few minutes
case_images: ACA-24-83-g003.jpg
case_images: PMC8081137_02_ACA-24-83-g003.jpg
case_images: F3
case_images: During the preparation for the placement of retrograde cardioplegia line, the dissection advanced proximally toward the root and was able to be seen on TEE [Figure 3].