Acute peripheral arterial ischemia and suspected aortic dissection:: Usefulness of transesophageal echocardiography in differential diagnosis with aortic thrombosis

被引:9
作者
Avegliano, G [1 ]
Evangelista, A [1 ]
Elorz, C [1 ]
González-Alujas, T [1 ]
del Castillo, HG [1 ]
Soler-Soler, J [1 ]
机构
[1] Hosp Univ Vall Hebron, Serv Cardiol, Barcelona, Spain
关键词
D O I
10.1016/S0002-9149(02)02585-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute peripheral arterial ischemia may be the first manifestation of acute aortic dissection.(1-4) Aortic thrombosis, particularly when the thrombus is mobile, is a rare process frequently associated with peripheral arterial embohsm(5-9) and may be mistaken for aortic dissection by some imaging techniques.(10) Correct diagnosis is crucial because management differs in both entities.(2,5,7,8) This study assesses the usefulness of trans esophageal echocardiography (TEE) in patients with acute peripheral ischemia and aortic dissection diagnosed by computed tomography.
引用
收藏
页码:674 / +
页数:5
相关论文
共 16 条
[1]   Clinical and echocardiographic findings in patients with suspected acute aortic dissection [J].
Armstrong, WF ;
Bach, DS ;
Carey, LM ;
Froehlich, J ;
Lowell, M ;
Kazerooni, EA .
AMERICAN HEART JOURNAL, 1998, 136 (06) :1051-1060
[2]   ATRIAL SEPTAL ANEURYSM AND PATENT FORAMEN OVALE AS RISK-FACTORS FOR CRYPTOGENIC STROKE IN PATIENTS LESS-THAN 55 YEARS OF AGE - A STUDY USING TRANSESOPHAGEAL ECHOCARDIOGRAPHY [J].
CABANES, L ;
MAS, JL ;
COHEN, A ;
AMARENCO, P ;
CABANES, PA ;
OUBARY, P ;
CHEDRU, F ;
GUERIN, F ;
BOUSSER, MG ;
DERECONDO, J .
STROKE, 1993, 24 (12) :1865-1873
[3]   USEFULNESS OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE DIAGNOSIS OF CONDITIONS MIMICKING AORTIC DISSECTION [J].
CHAN, KL .
AMERICAN HEART JOURNAL, 1991, 122 (02) :495-504
[4]   The International Registry of Acute Aortic Dissection (IRAD) - New insights into an old disease [J].
Hagan, PG ;
Nienaber, CA ;
Isselbacher, EM ;
Bruckman, D ;
Karavite, DJ ;
Russman, PL ;
Evangelista, A ;
Fattori, R ;
Suzuki, T ;
Oh, JK ;
Moore, AG ;
Malouf, JF ;
Pape, LA ;
Gaca, C ;
Sechtem, U ;
Lenferink, S ;
Deutsch, HJ ;
Diedrichs, H ;
Robles, JMY ;
Llovet, A ;
Gilon, D ;
Das, SK ;
Armstrong, WF ;
Deeb, GM ;
Eagle, KA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (07) :897-903
[5]   RECOGNITION AND EMBOLIC POTENTIAL OF INTRAAORTIC ATHEROSCLEROTIC DEBRIS [J].
KARALIS, DG ;
CHANDRASEKARAN, K ;
VICTOR, MF ;
ROSS, JJ ;
MINTZ, GS .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1991, 17 (01) :73-78
[6]  
Laperche T, 1997, CIRCULATION, V96, P288
[7]   Thrombus of the thoracic aorta as a source of peripheral embolism diagnosed by transesophageal echocardiography [J].
Laraudogoitia, E ;
Evangelista, A ;
delCastillo, HG ;
Lekuona, I ;
Palomar, S ;
GonzalezAlujas, T ;
Salcedo, A .
REVISTA ESPANOLA DE CARDIOLOGIA, 1997, 50 (01) :62-64
[8]   THE DIAGNOSIS OF THORACIC AORTIC DISSECTION BY NONINVASIVE IMAGING PROCEDURES [J].
NIENABER, CA ;
VONKODOLITSCH, Y ;
NICOLAS, V ;
SIGLOW, V ;
PIEPHO, A ;
BROCKHOFF, C ;
KOSCHYK, DH ;
SPIELMANN, RP .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (01) :1-9
[9]  
Nishino M, 1996, J Am Soc Echocardiogr, V9, P79, DOI 10.1016/S0894-7317(96)90107-8
[10]  
Pacifico L, 1999, CLIN CARDIOL, V22, P353