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首页> 外文期刊>Anesthesia and Analgesia: Journal of the International Anesthesia Research Society >Transesophageal echocardiography: Identification and management of a misplaced pedicle screw in the descending thoracic aorta after posterior spinal fusion
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Transesophageal echocardiography: Identification and management of a misplaced pedicle screw in the descending thoracic aorta after posterior spinal fusion

机译：经食道超声心动图：脊柱后路融合术后胸降主动脉错位椎弓根螺钉的定位和处理

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摘要

After induction of general anesthesia and placement of invasive monitors, a transesophageal echocardiography (TEE) probe was placed. This was used to diagnose the exact location of the screw and to monitor for bleeding during its removal. The patient was positioned prone to facilitate surgical access to the screw. TEE confirmed a screw posterolat-eral to the descending midthoracic aorta at the level of the main pulmonary artery (Video 1, see Supplemental Digital Content 1, http://links.lww.com/AA/A489, and Video 2, Supplemental Digital Content 2, http://links.lww.com/ AA/A490; Pig. 2). The long and narrow band of echoes protruding from the posterolateral wall into the aortic lumen raised suspicion that the screw had penetrated all 3 layers of the aorta.
机译：诱导全身麻醉并放置有创监护仪后，放置经食道超声心动图（TEE）探针。这用于诊断螺钉的确切位置并监视螺钉在拆除过程中的出血。患者倾向于俯卧，以利于外科手术接近螺钉。 TEE确认了在主肺动脉水平向胸中降主动脉螺钉固定（视频1，请参阅补充数字内容1，http：//links.lww.com/AA/A489，视频2，请参见补充数字）内容2，http：//links.lww.com/ AA / A490; Pig。2）。从后外侧壁突出进入主动脉腔的回声又长又窄，人们怀疑螺丝钉已经穿透了主动脉的所有三层。

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