{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T15:48:23Z","timestamp":1783180103668,"version":"3.54.6"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"3-4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,3,28]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Acute type I aortic dissection is a life-threatening emergency with potentially devastating complications, including end-organ malperfusion. Early detection of malperfusion with intraoperative imaging allows for efficient transition to appropriate interventions. We present a case of a 65-year-old male with acute type I aortic dissection who underwent emergent surgical repair of the aortic root and hemiarch followed by acutely worsening distal malperfusion. The use of intraoperative transesophageal echocardiography played a critical role in visualizing diversion of flow to the false lumen, prompting urgent vascular surgery consultation and life-saving thoracic endovascular aortic repair.<\/jats:p>","DOI":"10.1093\/milmed\/usab026","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T08:44:56Z","timestamp":1613292296000},"page":"e543-e546","source":"Crossref","is-referenced-by-count":2,"title":["Intraoperative Transesophageal Echocardiography in Management of Acute Type I Aortic Dissection With Malperfusion: A Case Report"],"prefix":"10.1093","volume":"187","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4449-7421","authenticated-orcid":false,"given":"Kaitlin E","family":"Beyrau","sequence":"first","affiliation":[{"name":"F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huckelberry A","family":"Finne","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara M","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven L","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA"},{"name":"Department of Anesthesia, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin E","family":"Koelling","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MD 20889, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arlene J","family":"Hudson","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,2,13]]},"reference":[{"issue":"41","key":"2022050519074232300_R1","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC guidelines on the diagnosis and treatment of aortic diseases: document covering acute and chronic aortic diseases of the thoracic and abdominal aorta of the adult. 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