Role of Echocardiography in Aortic Surgery



An ideal imaging technique should be able to confirm the diagnosis of aortic disease, classify the nature of aortic pathology [classic dissection versus intramural hematoma (IMH)], define the extent of aortic involvement (ascending, arch, and descending), and evaluate for associated complications. The diagnostic test should be sensitive, specific, and highly accurate. Diagnostic testing should be readily available to be done as quickly as possible considering the early high mortality of acute aortic disease (1% per hour in the first 48 h). It should also be able to provide additional information, which impacts the patient’s immediate management and long-term outcome such as myocardial ischemia, aortic valve (AV) regurgitation, cardiac tamponade, reentry tears, and aortic branch vessel involvement.


Aortic Valve Aortic Dissection Aortic Root Aortic Wall Marfan Syndrome 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Kathirvel Subramaniam
    • 1
  • Balachundhar Subramaniam
  1. 1.Department of AnesthesiologyUniversity of Pittsburgh Medical Center – Presbyterian HospitalPittsburghUSA

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