Usefulness of transesophageal echocardiography in the diagnosis of aortic dissection: report of a case

Authors

  • Jesús Samuel Borges Lopez Echocardiography service, Mexico's General Hospital "Dr. Eduardo Liceaga"
  • Jose Luis Baron Caballero Echocardiography service, Mexico's General Hospital "Dr. Eduardo Liceaga"
  • Erlan Jorge Echenique Cuellar Coronary Intensive Care Unit, Hospital General de México "Dr. Eduardo Liceaga".
  • Rodolfo de Jesus Castaño Guerra Coronary Intensive Care Unit, Hospital General de México "Dr. Eduardo Liceaga".
  • Eduardo Ayala Hernandez Coronary Intensive Care Unit, Hospital General de México "Dr. Eduardo Liceaga"

DOI:

https://doi.org/10.37615/retic.v5n3a13

Keywords:

aortic dissection, transesophageal echocardiography.

Abstract

Acute aortic syndrome includes intramural hematoma, penetrating atherosclerotic ulcer, and aortic dissection. The latter is characterized by a tear in the intima of the aorta, which exposes the medial layer, allowing pulsatile blood flow to enter, dissecting it and extending longitudinally, which creates a false lumen and an intimal flap, which can be complicated by aortic rupture. cardiac tamponade, heart failure and sudden death. The case of a patient is reported, in which, thanks to the transesophageal echocardiogram, it was possible to reach a rapid diagnosis and provide urgent treatment without complications.

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References

Soto Silva J., Hernández-Vyhmeister R. Síndrome aórtico agudo. Diagnóstico por imagen. Revista de ecocardiografía práctica y otras técnicas de imagen cardíaca. RETIC 2017; 5: 1-11. DOI: https://doi.org/10.37615/retic.n5a2

Gómez J., Bárcena-Atalaya AB., Caballero-García FJ. Disección aórtica aguda, lo fundamental de la historia clínica y la exploración física. Medicina de Familia-SEMERGEN 2014;40(4): 228-231. DOI: https://doi.org/10.1016/j.semerg.2013.12.011

Contreras E., Zuluaga SX., Gómez JE, Ocampo V., Urrea C.A. Disección aórtica: estado actual. Rev. costarric. cardiol [Internet]. 2009 June [cited 2022 Aug 04] ; 11( 1 ): 19-27.

Mercéa J., Evangelistaa A., Sagristàa J., García del Castilloa H., Soler J. Utilidad de la ecocardiografía transesofágica en el diagnóstico de un hematoma aórtico tras la angioplastia de una recoartación aórtica. Rev Esp Cardiol 1997; 50: 355-356). DOI: https://doi.org/10.1016/S0300-8932(97)73233-0

P. Carmona et al. Papel de la ecocardiografía transesofágica perioperatoria en la patología de la aorta. Cir Cardiov. 2014;21(1):37–48. DOI: https://doi.org/10.1016/j.circv.2013.12.002

Sayed A, Munir M, Bahbah EI. Aortic Dissection: A Review of the Pathophysiology, Management and Prospective Advances. Curr Cardiol Rev. 2021;17(4):e230421186875. DOI: https://doi.org/10.2174/1573403X16666201014142930

Published

2022-12-31

How to Cite

1.
Borges Lopez JS, Baron Caballero JL, Echenique Cuellar EJ, Castaño Guerra R de J, Ayala Hernandez E. Usefulness of transesophageal echocardiography in the diagnosis of aortic dissection: report of a case. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Dec. 31 [cited 2024 Nov. 21];5(3):57-60. Available from: https://imagenretic.org/RevEcocarPract/article/view/527

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