경식도 심초음파로 진단된 박리성 대동맥류 4례

Abstract

Background : The prompt and accurate diagnosis of acute aortic dissection is decisive for the prognosis of the patient since an effective surgical and medical therapy can improve the high rate of mortality due to this pathology.

Among the various diagnostic methods, transesophageal echocardiography can provide a rapid and accurate method of diagnosing and evaluating dissecting aortic aneurysm and permits prompt initiation of appropriate treatment.

Thus we performed transesophageal echocardiography in patients suspected to dissecting aortic aneurysm, as a preHminary examination, and now we reported the result.

Methods We have studied 4 cases of dissecting aortic aneurysms among the patient received examination of cardiovascular system by transesophageal echocardiography, since January 1991 at Keimyung University hospital.

In these 4 cases, 3 cases had CT scan, 2 cases had MRI scan, and all cases had transthoracic echocardiography simultaneously as a adjuvant diagnostic method.

Results ‘ All 4 cases could be promptly and accuratly diagnosed and typed by transesophageal echocardiography.

As a consequence, patients could receive the early medical treatment and had good clinical results.

Conclusion * Transesophageal echocardiography is fast inexpensive and accurate method in diagnosis of dissecting aortic aneurysm. So we recommend transesophageal echocardiography, as a preliminary examination in case of suspecting dissecting aortic aneurysm.

KEY WORDS * Transesophageal echocardiography(TEE) • Dissecting aortic aneurysm.