Transesophageal Pathology Atlas

 
Suspected Aortic Dissection - Diagnostic Pitfall
  Sospetta dissecazione aortica - Errore diagnostico 


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Short Axis of Aortic Valve, Suspect Dissection Flap
A
Short Axis of Aortic Valve, Suspect Dissection Flap

Normal Aortic Valve, Short Axis
B
Normal Aortic Valve, Short Axis, 42°

Normal Aortic Valve, Short Axis, 48°
C
Normal Aortic Valve, Short Axis, 48°

 

Case # TE0047

     Page 1 of 5     >>
Age / Sex 70 y. / M
Machine HP 1500

 

Transd. / Hz 5.0 MHz Omni/ 23 Hz  / Depth 12 cm
View Upper Esophagus, Horizontal Plane, Short Axis of Base. 
Mode / Time 2D / Diastole
Abbrev. AO: Aortic Root; LA: Left Atrium; LVOT: Left Ventricular Outflow Tract.

Comments
A

Stat Study. Patient referred for previous TE suspect of aortic root dissection. Left arrow shows linear echodensity which is in fact in continuity with (right arrow) and part of tip of anterior aortic valve cusp. See corresponding long axis image
Esame eseguito d'urgenza. Paziente inviato per sospetta dissecazione aortica a pregresso esame TE. La freccia sinistra mostra ecodensitą lineare che tuttavia č in continuitą con la cuspide valvolare aortica anteriore (freccia destra). Vedi corrispondente immagine in asse lungo

 

Mode / Time 2D / End-diastole(B) & Systole (C)

Comments
B

Modifying exam plane (42°) shows normal aortic valve and root. Small arrows indicates what was thought to be a dissection flap and in fact is edge of large anterior  aortic cusp.  Asterisk shows origin of right coronary artery. 
Modificando l'angolo del piano di sezione (42°) si dimostra normale valvola e radice aortica. Le piccole frecce indicano quello che era stato indicato come un flap di dissezione della radice aortica ed in realtą č il bordo della cuspide anteriore aortica. L'asterisco indica l'ostio della coronaria destra. 

Comments
C

Further increasing angle of exam plane (48°, correct transverse section of aortic root in this patient) shows normal aortic valve and root. Asterisk shows origin of right coronary artery. 
Incrementando ulteriormente l'angolo del piano di sezione (48°, corretta sezione trasversa della radice aortica in questo paziente) sono evidenti normale valvola e radice aortica. La freccia indica l'ostio della coronaria destra. . 

 

 

Web site created/ sito creato:    August 1999
Updated / aggiornato:      28/03/2007
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Copyright © 1999-2007 by Paolo Barbier

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