A two-dimensional echoaortocardiographic approach to dissecting aneurysms of the aorta to prevent false-positive diagnoses.
Two patients with dissecting aneurysms of the aorta of Debakey type I and II, 10 healthy subjects, and 2 patients with signs mimicking aortic-root dissection were studied by two-dimensional echoaortocardiography, standard echocardiography, and M-mode scanning. In both electrocardiographically gated and nonelectrocardiographically gated two-dimensional echoaortocardiograms of each patient, aortic-root dissections were clearly visualized. Because of the possibility of a false-positive diagnosis of an aortic-root dissection by previously reported criteria (including cases in the authors' experience and in the literature), the authors are convinced that the combination of two-dimensional and standard echoaortocardiography provides the most reliable echo diagnosis of this disease.
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis*; D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000175:diagnosis*; D001027:Aortography; D004452:Echocardiography; D005189:False Positive Reactions; D006801:Humans; D008297:Male; D008875:Middle Aged