Mind the gap: Transesophageal echocardiography aids detection of pseudo-coarctation during thoracoabdominal surgery

Commentary: Making a difference: Pressure differential corrected during thoracoabdominal aortic repair

“…In the modern era, open surgical repair of thoracoabdominal aortic disease has an estimated mortality of approximately 10%, and although patients with Marfan syndrome frequently have more complex, extensive pathologies, results are also good-to-excellent for this subset of patients, with mortality ranging from 0% to 7%. 1 In this issue of JTCVS Techniques , Tully and colleagues 2 from St Bartholomew's Hospital in London share an interesting case regarding the recognition and correction of pressure gradient at the proximal anastomosis in a patient with Marfan syndrome during thoracoabdominal repair of a chronic type B aortic dissection. When left heart bypass was discontinued, a >70-mm Hg discrepancy was noted between the right radial and femoral arterial lines.…”

Commentary: Break the barrier: An unexpected transesophageal echocardiography finding of pseudo-coarctation in thoracoabdominal aortic repair

“…In this issue of JTCVS Techniques , Tully and colleagues 2 present a case of extensive thoracoabdominal aortic repair of DeBakey type III chronic dissection extending from the LSA down to the iliac arteries. The proximal aortic clamp was placed just distal to the LSA.…”