Transoesophageal echocardiography can be crucial for the rapid diagnosis and subsequent successful surgical management of near-fatal acute type A aortic dissection involving the right coronary artery.
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May support TEE in type A dissection arrest; leaves open prospective validation of diagnostic impact.
We describe a patient with aortic dissection extending into the right coronary artery who was successfully resuscitated and operated upon after a cardiac arrest during transfer to the operating room. The use of transoesophageal echocardiography was particularly helpful for rapid diagnosis of aortic type A dissection and urgent surgical treatment.
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Chevalley et al. (2000) studied this question.
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