title: Transesophageal echocardiography after contrast-enhanced CT angiography in the diagnosis of type A aortic dissection.
abstract: Contrast-enhanced CT angiography (CTA) currently is considered the diagnostic modality of choice in the diagnosis of acute type A aortic dissection. However, pitfalls associated with acquisition and interpretation of CTA images may result in misdiagnosis. We present examples of false-positive and false-negative interpretations of CTA in emergency situations that underline the importance of intraoperative preincision transesophageal echocardiography (TEE) in the diagnosis and management of this highly lethal entity.
authors.affiliation: Jackson Memorial Hospital, University of Miami Miller School of Medicine, Miami, Florida 33136, USA. egologorsky@med.miami.edu
authors.forename: Edward
authors.initials: E
authors.lastname: Gologorsky
authors.forename: Riny
authors.initials: R
authors.lastname: Karras
authors.forename: Angela
authors.initials: A
authors.lastname: Gologorsky
authors.forename: Marco
authors.initials: M
authors.lastname: Ricci
authors.forename: Tomas A
authors.initials: TA
authors.lastname: Salerno
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000175:diagnosis* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000601:surgery; D001807:Blood Vessel Prosthesis; D003287:Contrast Media; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods*; D017809:Fatal Outcome; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*
chemical_list: D003287:Contrast Media