The current role of echocardiography in acute aortic syndrome
| Autor: | Domenico Gruosso, José Rodríguez-Palomares, Arturo Evangelista, Giuliana Maldonado, N. Villalva, Laura Galian, Gisela Teixido, Laura Gutiérrez, Chiara Granato, Teresa González-Alujas |
|---|---|
| Přispěvatelé: | Institut Català de la Salut, [Evangelista A, Gruosso D, Gutiérrez L, Granato C, Villalva N, Galian L, González-Alujas T, Teixido G, Rodríguez-Palomares J] Unitat d'ecocardiografia i imatge cardíaca, Hospital Universitari Vall d'Hebron, Barcelona, Spain. [Maldonado G] Cardiovascular Imaging Department, Instituto del Corazon, Quironsalud Teknon, Barcelona, Spain., Vall d'Hebron Barcelona Hospital Campus |
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system False lumen Review 030204 cardiovascular system & hematology Transoesophageal echocardiography echocardiography in aortic surgery 03 medical and health sciences transthoracic echocardiography 0302 clinical medicine medicine.artery Ascending aorta medicine Thoracic aorta Radiology Nuclear Medicine and imaging aortic dissection Other subheadings::Other subheadings::/diagnostic imaging [Other subheadings] Advanced and Specialized Nursing Acute aortic syndrome Aortic dissection diagnóstico::técnicas y procedimientos diagnósticos::diagnóstico por imagen::técnicas de imagen cardíaca::ecocardiografía [TÉCNICAS Y EQUIPOS ANALÍTICOS DIAGNÓSTICOS Y TERAPÉUTICOS] Radiological and Ultrasound Technology business.industry Otros calificadores::Otros calificadores::/diagnóstico por imagen [Otros calificadores] Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Imaging::Cardiac Imaging Techniques::Echocardiography [ANALYTICAL DIAGNOSTIC AND THERAPEUTIC TECHNIQUES AND EQUIPMENT] Flow pattern medicine.disease Cardiovascular Diseases::Vascular Diseases::Aortic Diseases [DISEASES] Intramural haematoma Aorta - Malalties - Imatgeria 030228 respiratory system lcsh:RC666-701 acute aortic syndrome enfermedades cardiovasculares::enfermedades vasculares::enfermedades de la aorta [ENFERMEDADES] Radiology transoesophageal echocardiography business Ecocardiografia |
| Zdroj: | Scientia Echo Research and Practice Echo Research and Practice, Vol 6, Iss 2, Pp R53-R63 (2019) |
| Popis: | Acute aortic syndrome; Aortic dissection; Echocardiography in aortic surgery Síndrome aòrtica aguda; Dissecció aòrtica; Ecocardiografia en cirurgia aòrtica Síndrome aórtico agudo; Disección aórtica; Ecocardiografía en cirugía aórtica Acute aortic syndrome (AAS) comprises a range of interrelated conditions caused by disruption of the medial layer of the aortic wall, including aortic dissection, intramural haematoma and penetrating aortic ulcer. Since mortality from AAS is high, a prompt and accurate diagnosis using imaging techniques is paramount. Both transthoracic (TTE) and transoesophageal echocardiography (TEE) are useful in the diagnosis of AAS. TTE should be the first imaging technique to evaluate patients with thoracic pain in the emergency room. Should AAS be suspected, contrast administration is recommended when images are not definitive. TEE allows high-quality images in thoracic aorta. The main drawback of this technique is that it is semi-invasive and the presence of a blind area that limits visualisation of the distal ascending aorta near. TEE identifies the location and size of the entry tear, secondary communications, true lumen compression and the dynamic flow pattern of false lumen. Although computed tomography (CT) is the most used imaging technique in the diagnosis of AAS, echocardiography offers complementary information relevant for its management. The best imaging strategy for appropriately diagnosing and assessing AAS is to combine CT, mainly ECG-gated contrast-enhanced CT, and TTE. Currently, TEE tends to be carried out in the operating theatre immediately before surgical or endovascular therapy and in monitoring their results. The aims of this review are to establish the current role of echocardiography in the diagnosis and management of AAS based on its advantages and limitations. |
| Databáze: | OpenAIRE |
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