• Skip to primary navigation
  • Skip to main content
  • 786-300-3183
  • [email protected]
  • Facebook
  • Twitter
Florida Society of Anesthesiologists

Florida Society of Anesthesiologists

  • About FSA
    • FSA Leadership
      • Distinguished Service Award Past Recipients
      • President Engagement Award Past Recipients
      • FSA Past Presidents
    • FSA Staff
    • Calendar of Events
    • Contact FSA
    • FSA Charter & Bylaws
    • FSA Speakers Bureau
  • Annual Meeting
    • Meeting Info
    • Call For Abstracts
    • Past Posters
      • 2022 FSA Podium and Poster Abstracts
      • 2021 FSA Posters
      • 2020 FSA Posters
      • 2019 FSA Posters
      • 2018 FSA Posters
    • Past Meetings
      • 2019 Annual Meeting Recap
      • 2018 Annual Meeting Recap
  • FSAPAC
    • Donate to FSAPAC
    • FSAPAC 2020 Donor Honor Roll
    • FSAPAC 2019 Donor Honor Roll
  • Join/Renew Membership
    • FSA Membership Renewal
    • Join the Florida Society of Anesthesiologists (FSA)
  • Member Login
  • Member Section
  • FSA Newsletter
  • Anesthesia 101
    • Made for this Moment
    • For Patients – Anesthesia 101
  • Partners

2018 FSA Posters

P057: AORTIC ROOT ABSCESS AND THE LOST ART OF THE PHYSICAL EXAM
Andres Bacigalupo Landa, MD, Jayanand D'Mello, MD; Mount Sinai Medical Center

A 69-year-old female patient was admitted to the hospital with malaise and abdominal pain. On hospital day five, the patient developed signs of sepsis and new-onset atrial fibrillation along with a quickly progressing cardiac conduction abnormality. Repeat imaging revealed acute cholecystitis, and emergency surgery was scheduled. In the holding area, the anesthesiologist performed a cardiac physical exam, which revealed a previously undocumented diastolic murmur. This new finding prompted the use of an intraoperative transesophageal echocardiogram (TEE), which subsequently revealed an aortic root abscess with an aortic valve vegetation (figure 1) and severe aortic insufficiency. Twelve days later, the patient underwent an aortic valve replacement. This case underscores the importance of physical exam of the anesthesiologist as it may reveal imperative information that may have been previously missed by other clinicians and highlights the importance of the utilization of the intraoperative TEE as part of the anesthesiologist’s skill set.

Intraoperative TEE (mid-esophageal long axis view of the AV) showing an AV vegetation (arrow 1) and an AV abscess (arrow 2).

Copyright © 2022 Florida Society of Anesthesiologists · Managed by BSC Management, Inc.