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Atypical Aortic Dissection Diagnosed by Transesophageal Echocardiography

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Author(s)
RAJEN K. MEHTANAVIN C. NANDADEBASISH ROYCHOUDHURYKEE-SIK KIMKHIDIR OSMANALBERT D. PACIFICO
Keimyung Author(s)
Kim, Kee Sik
Department
Dept. of Internal Medicine (내과학)
Journal Title
Echocardiography
Issued Date
1994
Volume
11
Issue
3
Abstract
Keywords:

aortic dissection;
Doppler echocardiography;
transesophageal echocardiography color Doppler flow mapping.



This case report describes a patient in whom a thin dissection of the proximal aorta was diagnosed by transesophageal echocardiography. Dissection was not firmly diagnosed in our patient with computed tomography, angiography, or magnetic resonance imaging. A definitive diagnosis was made prospectively using intraoperative transesophageal echocardiography by demonstrating the presence of a thin immobile dissection flap located very close to the anterior aortic wall. Color Doppler examination showed absence of flow signals in the small false lumen, suggesting that it may be clotted. At surgery the presence of dissection involving the ascending aorta, as well as a clotted false lumen were confirmed. This finding demonstrates the utility of transeophageal echocardiography in the diagnosis of aortic dissection and the ability of this test to differentiate a thin dissection from intimal thickening. (ECHOCARDIOGRAPHY, Volume 11, May 1994)
Keimyung Author(s)(Kor)
김기식
Publisher
School of Medicine
Citation
RAJEN K. MEHTA et al. (1994). Atypical Aortic Dissection Diagnosed by Transesophageal Echocardiography. Echocardiography, 11(3), 261–263. doi: 10.1111/j.1540-8175.1994.tb01075.x
Type
Article
ISSN
0742-2822
Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1540-8175.1994.tb01075.x
DOI
10.1111/j.1540-8175.1994.tb01075.x
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/35607
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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