Localized aortic dissection: unusual features by transesophageal echocardiography.
Transesophageal echocardiography relies on the presence of an undulating intimal flap for the diagnosis of aortic dissection. Furthermore, to distinguish true dissection from echo artifacts, the flap has to be identified in more than one view, and it must have a motion independent of the aortic wall. We describe the transesophageal echocardiography appearance of a localized aortic dissection with atypical features for an intimal flap. Awareness of this unusual echocardiographic appearance of an intimal flap will avoid misdiagnosis of the potentially serious acute aortic dissection.
Darbar
D
D
Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota 55905, USA.
Zehr
K
K
Breen
J F
JF
Click
R
R
D000368:Aged; D000784:Aortic Dissection / Q000000981:diagnostic imaging* / Q000473:pathology; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging* / Q000473:pathology; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D017539:Tunica Intima / Q000000981:diagnostic imaging / Q000473:pathology