Localized dissection detected only by transoesophageal echocardiography

Soichiro Ichikawa, Noritomo Fujisaki, Shigeru Fukuzawa

Research output: Contribution to journalArticle

Abstract

A 39-year-old man was taken to our hospital due to CPA. He had suddenly complained of breathing difficulties and chest pain half an hour earlier, then quickly had a CPA. After arrival, we achieved successful resuscitation. A chest X-ray revealed severe lung congestion. TTE showed normal left ventricular function and end-diastolic diameter (45 mm), but severe aortic regurgitation and premature mitral valve closure were present. He did not have a history of Marfan syndrome, bicuspid valve or heart murmur. We suspected that the cause of heart failure and CPA was acute aortic regurgitation resulting from AAD, based on symptoms, history and TTE findings. However, because we could not detect the dissection flap with TTE, CE-CT was performed. CE-CT did not show the flap within the aorta (Fig. 1), so TEE was performed and revealed the localized dissection flap displacing the aortic valve during ventricular diastole within the ascending aorta, which was normal in diameter (35 mm) (Fig. 2). In this case, only TEE could identify the localized dissection flap. The patient was not scheduled to undergo surgery because of hypoxic brain damage.

Original languageEnglish
Pages (from-to)51-52
Number of pages2
JournalArchives of Cardiovascular Diseases
Volume105
Issue number1
DOIs
Publication statusPublished - Jan 1 2012
Externally publishedYes

Fingerprint

Transesophageal Echocardiography
Dissection
Aortic Valve Insufficiency
Mitral Valve
Aorta
Heart Murmurs
Brain Hypoxia
Marfan Syndrome
Diastole
Chest Pain
Aortic Valve
Left Ventricular Function
Resuscitation
Respiration
Thorax
Heart Failure
History
X-Rays
Lung

Keywords

  • Computed tomography
  • Localized dissection
  • Transesophageal echocardiography

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Localized dissection detected only by transoesophageal echocardiography. / Ichikawa, Soichiro; Fujisaki, Noritomo; Fukuzawa, Shigeru.

In: Archives of Cardiovascular Diseases, Vol. 105, No. 1, 01.01.2012, p. 51-52.

Research output: Contribution to journalArticle

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