{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:48:29Z","timestamp":1787014109434,"version":"build-2736575974"},"reference-count":2,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T00:00:00Z","timestamp":1733184000000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Iatrogenic aortic dissection (IAD) is a life\u2010threatening condition, primarily caused by arterial cannulation during cardiopulmonary bypass (CPB) in cardiac surgeries. Transesophageal echocardiography (TEE) is the first\u2010line diagnostic tool in the acute setting, but the presence of several artifacts can easily lead to misinterpretation. A 55\u2010year\u2010old man underwent coronary artery bypass grafting and implantation of central veno\u2010arterial extracorporeal membrane oxygenation (V\u2010A ECMO). TEE revealed what appeared to be an intimal dissection flap in the aortic arch and descending thoracic aorta, raising concerns for an IAD, which was not confirmed by computed tomographic angiography. This case highlights the pitfalls and limitations of echocardiography in the diagnosis of IAD, especially in settings with complex flow patterns such as during CPB or V\u2010A ECMO.<\/jats:p>","DOI":"10.1111\/echo.70043","type":"journal-article","created":{"date-parts":[[2024,12,3]],"date-time":"2024-12-03T05:13:13Z","timestamp":1733202793000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Suspected Iatrogenic Aortic Dissection During Cardiopulmonary Bypass and Veno\u2010Arterial Extracorporeal Membrane Oxygenation: A Challenging Dilemma"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8598-3381","authenticated-orcid":false,"given":"Ludovica","family":"De Fazio","sequence":"first","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"},{"name":"Cardiology, Department of Clinical and Molecular Medicine Sapienza University of Rome  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amedeo","family":"Pergolini","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giulio","family":"Cacioli","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Saitto","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Centonze","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Unit Cardio\u2010Thoracic\u2010Vascular Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlo","family":"Contento","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Sbaraglia","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"D'Avino","sequence":"additional","affiliation":[{"name":"Anesthesiology and Intensive Care Unit Cardio\u2010Thoracic\u2010Vascular Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federico","family":"Ranocchi","sequence":"additional","affiliation":[{"name":"Cardiac Surgery and Heart Transplant Department Azienda Ospedaliera San Camillo Forlanini  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.case.2024.05.012"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.119.6.1778"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.70043","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,12]],"date-time":"2024-12-12T10:24:54Z","timestamp":1733999094000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.70043"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":2,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1111\/echo.70043"],"URL":"https:\/\/doi.org\/10.1111\/echo.70043","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"value":"0742-2822","type":"print"},{"value":"1540-8175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]},"assertion":[{"value":"2024-10-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70043"}}