title: Transesophageal and transpharyngeal ultrasound demonstration of reversed diastolic flow in aortic arch branches and neck vessels in severe aortic regurgitation.
abstract: In the current study, we describe an adult patient with torrential aortic regurgitation due to an aortic dissection flap interfering with aortic cusp motion, in whom a transesophageal echocardiogram with the probe positioned in the upper esophagus and transpharyngeal ultrasound examination demonstrated prominent reversed flow throughout diastole in the left subclavian, left vertebral, left common carotid, and left internal carotid arteries. Another unique finding was the demonstration of aortic valve leaflets held in the fully opened position in diastole by the dissection flap as it prolapsed into the left ventricular outflow tract, dramatically documenting the mechanism of torrential aortic regurgitation in this patient.
authors.affiliation: Division of Cardiovascular Disease, University of Alabama at Birmingham, 35249, USA.
authors.forename: Deepak
authors.initials: D
authors.lastname: Khanna
authors.forename: Ashish
authors.initials: A
authors.lastname: Sinha
authors.forename: Navin C
authors.initials: NC
authors.lastname: Nanda
authors.forename: Ritesh
authors.initials: R
authors.lastname: Gupta
authors.forename: Maninder
authors.initials: M
authors.lastname: Sidhu
authors.forename: Srinivas
authors.initials: S
authors.lastname: Vengala
authors.forename: Harvinder S
authors.initials: HS
authors.lastname: Dod
authors.forename: T Fikret
authors.initials: TF
authors.lastname: Ilgenli
mesh_terms: D000784:Aortic Dissection / Q000175:diagnosis / Q000503:physiopathology; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000503:physiopathology; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000503:physiopathology; D001022:Aortic Valve Insufficiency / Q000175:diagnosis* / Q000503:physiopathology; D003971:Diastole / Q000502:physiology; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply* / Q000000981:diagnostic imaging*; D010614:Pharynx / Q000098:blood supply* / Q000000981:diagnostic imaging*; D012039:Regional Blood Flow / Q000502:physiology; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed