Abstract
Aortic dissection is characterized by detachment of the intima and by the entry of high-pressure flow into the disrupted media. Three types of aortic dissections can be distinguished, according to the classification of DeBakey. In type I the entry is in the ascending aorta, and the dissection extends to the descending aorta; in type II the dissection does not extend beyond the arch; in type III, the dissection is confined to the descending aorta. TEE represents a highly accurate method for the diagnosis of aortic dissections and for evaluating flow dynamics in the true and false lumen.
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References
Börner C, Erbel R, Henkel B, Meyer J (1984) Evaluation of the thoracic aorta by transesophageal echocardiography. Circulation 70: II - 293
DeMaria AN, Bommer W, Neumann A, Weinert L, Bogren H, Mason DT (1979) Identification and localization of aneurysms of the descending aorta by cross-sectional echocardiography. Circulation 59: 755–761
De Simone R, Haberbosch W, Iarussi D, Iacono A (1990) Transesophageal echocardiography for the diagnosis of thoracic aorta aneurysms and dissections. Cardiologia 35: 387–390
Engberding R, Bender F, Grosse W, Eckardt M, Müller U, Bramann H, Schneider D (1987) Identification of dissection or aneurysm of the descending thoracic aorta by conventional and transesophageal two-dimensional echocardiography. Am J Cardiol 59: 717–719
Erbel R, Mohr-Kahaly S, Rennollet H, Brunier J, Drexler M, Wittlich N, Iversen S, Oelert H, Thelen M, Meyer J (1987) Diagnosis of aortic dissection: the value of transesophageal echocardiography. Thorac Cardiovasc Surg: 35: 126–133
Erbel R, Daniel W, Visser C, Engberding R, Roelandt J, Rennolet J (1989) Echocardiography in the diagnosis of aortic dissection. Lancet I: 457–461
Erbel R, Bednarczyk I, Pop T, Todt M, Henrichs KJ, Brunier A, Thelen M, Meyer J (1990) Detection of dissection of the aortic intima and media after angioplasty of coarctation of the aorta. An angio- graphic, computer tomographic and echocardiographic comparative study. Circulation 81: 805–814
Erbel R et al for the European Cooperative Study Group on Echocardiography (1993) Effect of medical and surgical therapy on aortic dissection evaluated by transesophageal echocardiography. Implications for prognosis and therapy. Circulation 87:1604–1615
Granato JE, Dee P, Gibson RS (1985) Utility of two-dimensional echocardiography in suspected ascending aortic dissection. Am J Cardiol 56: 123–129
Kyo S, Takatnoto S, Adachi H, Matsumura M, Kimura S, Yokotre Y, Omoto R (1989) Intraoperative evaluation of repair of aortic dissection: surgical decision making. Int J Card Imaging 4: 49–50
Mohr-Kahaly S, Erbel R, Steller D, Bärner N, Drexler M, Meyer J (1987) Aortic dissection detected by transesophageal echocardiography. Int J Card Imaging 2: 31–35
Mohr-Kahaly S, Erbel R, Rennolet J, Wittlich N, Drexler M, Oelert H, Meyer J (1989) Ambulatory follow-up of aortic dissection by transesophageal 2-D and color-coded Doppler echocardiography. Circulation 80: 24–33
Troianos CA, Savino JS, Weiss RL (1991) Trans-esophageal echocardiographic diagnosis of the aortic dissection during cardiac surgery. Anesthesiology 75: 149–153
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© 1994 Springer-Verlag Berlin Heidelberg
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De Simone, R. (1994). Aortic Dissection. In: Atlas of Transesophageal Color Doppler Echocardiography and Intraoperative Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78956-4_6
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DOI: https://doi.org/10.1007/978-3-642-78956-4_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-78958-8
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