Subacute aortic dissection: echotomographic correlation
DOI:
https://doi.org/10.37615/retic.v3n1a7Keywords:
chronic dissection, aorta, intramural hematoma.Abstract
83-year-old male treated with right coronary stent 4 weeks before because chest pain cataloged as acute coronary syndrome. Control echocardiogram shows an ascending aorta intramural hematoma with another area of dissection in the ascending aorta not related to the proximal lession. A meticulous mapping allows detection of both lessions. A contrast CT shows both lessions and patient was referred to surgical correction.
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DeBakey ME, Beall ACJ, Cooley DA, et al. Dissecting aneurysms of the aorta. Surg Clin North Am 1966; 46: 1045-1055. doi: https://doi.org/10.1016/s0039-6109(16)37946-4
Cecconi M, Chirillo F, Costantini C, et al. The role of transthoracic echocardiography in the diagnosis and management of acute type A aortic syndrome. Am Heart J 2012; 163: 112-118. doi: https://doi.org/10.1016/j.ahj.2011.09.022
Goldstein SA. Echocardiographic evaluation of aortic dissection. Cardiac Ultrasound Today 2001; 7: 167-180.
Harris KM, Strauss CE, Eagle KA, et al. Correlates of delayed recognition and treatment of acute type A aortic dissection: the International Registry of Acute Aortic Dissection (IRAD). Circulation 2011; 124: 1911-1918. doi: https://doi.org/10.1161/CIRCULATIONAHA.110.006320
Shiga T, Wajima Z, Apfel CC, et al. Diagnostic accuracy of transesophageal echocardiography, helical computed tomography, and magnetic resonance imaging for suspected thoracic aortic dissection: systematic review and meta-analysis. Arch Intern Med 2006; 166: 1350-1356. doi: https://doi.org/10.1001/archinte.166.13.1350
Nienaber CA, Spielmann RP, von Kodolitsch Y, et al. Diagnosis of thoracic aortic dissection. Magnetic resonance imaging versus transesophageal echocardiography. Circulation 1992; 85: 434-447. doi: https://doi.org/10.1161/01.cir.85.2.434
Goldstein SA, Evangelista A, Abbara S, et al. Multimodality Imaging of Diseases of the Thoracic Aorta in Adults: From the American Society of Echocardiography and the European Association of Cardiovascular Imaging: Endorsed by the Society of Cardiovascular Computed Tomography and Society for Cardiovascular Magnetic Resonance. Journal of the American Society of Echocardiography 2015; 28 (2): 119-182. doi: https://doi.org/10.1016/j.echo.2014.11.015
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