Pitfalls in the diagnosis of thoracic aortic aneurysm by transesophageal echocardiography.
A 74-year-old man underwent transesophageal echocardiography to evaluate the possibility of dissection of the descending aorta. The study demonstrated a round lumen that contained an echogenic mass mimicking aortic aneurysm with thrombus. However, computerized tomographic scanning identified the lumen as the pleural cavity containing a collapsed lung. The esophagus was on the right side of the spine, and the transesophageal technique could not visualize the descending aorta.
Kronzon
I
I
Department of Medicine, New York University Medical Center, NY.
Demopoulos
L
L
Schrem
S S
SS
Pasternack
P
P
McCauley
D
D
Freedberg
R S
RS
D000368:Aged; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D015150:Echocardiography, Doppler; D004947:Esophagus; D006801:Humans; D008297:Male; D010994:Pleura / Q000000981:diagnostic imaging / Q000473:pathology; D001261:Pulmonary Atelectasis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D013927:Thrombosis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed