Definitive Diagnosis of Descending Thoracic Aortic Dissection by Real Time/Live Three‐Dimensional Transthoracic Echocardiography

Yelamanchili, Pridhvi; Nanda, Navin C.; Patel, Vinod F.; Bogabathina, Hari; Baysan, Oben

doi:10.1111/j.1540-8175.2006.00201.x

Cited by 9 publications

(5 citation statements)

References 2 publications

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“…For assessment of aortic dissection, similar to our past experience with 3D TTE, 10 3D TEE demonstrated the conclusive “tube within a tube” appearance and was useful in determining the proximal site of dissection. Additionally, 3D TEE may be useful in evaluating the ascending aorta for proper placement of a cross clamp when initiating cardiopulmonary bypass.…”

Section: Discussionsupporting

confidence: 55%

Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Pothineni¹,

Inamdar²,

Miller³

et al. 2007

Echocardiography

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A new tool has been recently introduced to the echocardiography armamentarium, live/real time three-dimensional (3D) transesophageal echocardiography (TEE). In these cases, we describe our initial experience in 13 patients studied intraoperatively and in the echocardiography suite. This important technology promises improved anatomic definition, diagnostic confidence, and novel views of the complicated cardiovascular pathology encountered in common clinical practice.

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Section: Discussionsupporting

confidence: 55%

Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Pothineni¹,

Inamdar²,

Miller³

et al. 2007

Echocardiography

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“…3D-TTE has proven to be useful when AoD is suspected on 2DTTE, having an additional advantage, that makes possible the visualization of propagation into the branching vessels. [6][7][8][9][10][11] Perspectively, in the diagnosis of aortic dissection, 3D-TTE is going to be more feasible, mainly because of the visualisation and measurements from the en face views, which provide more accurate and reproducible data in comparison with two-dimensional echocardiography. [1] Conclusions In our case, 3D transthoracic echocardiographic examination proved to be an accurate choice for diagnosing type A aortic dissection, conferring all the relevant anatomical and functional data needed for planning surgical repair.…”

Section: Discussionmentioning

confidence: 99%

Transthoracic 3D Echocardiographic Imaging of Type A Aortic Dissection – Case Presentation

Szabó

Kocsis

Fogarasi

et al. 2017

Acta Medica Marisiensis

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In type A aortic dissection (AoD) an early and accurate diagnosis is essential to improve survival, by applying urgent surgical repair. 3D transthoracic echocardiography (3D-TTE), an advanced noninvasive imaging technique, could offer a comprehensive evaluation of the ascending aorta and aortic arch in this regard. Both modalities of real-time 3D imaging -live 3D and full-volume aquisition -proved to be useful in evaluating the localization and extent of AoD. Our case illustrates the utility of 3D-TTE in the complex assessment AoD. By providing the proper anatomical dataset, 3D-TTE could facilitate considerably the diagnosis of type A AoD.

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“…Upon reviewing the literature, we found several case reports 22–26 but few detailed studies 9–11 demonstrating the role of 3DTTE or 3DTEE in the evaluation of aortic dissection or aortic aneurysm. These studies and case reports point to the usefulness of 3D technology in accurately diagnosing aortic dissection, in improving assessment of relationship of the dissection flap with the surrounding structures, and in more accurate quantification of the communication sites between perfusing and nonperfusing lumens.…”

Section: Discussionmentioning

confidence: 99%

Incremental Value of Live/Real Time Three‐Dimensional Transesophageal Echocardiography over the Two‐Dimensional Technique in the Assessment of Aortic Aneurysm and Dissection

et al. 2012

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We compared findings from intraoperative live/real time three-dimensional transesophageal echocardiography (3DTEE) and two-dimensional transesophageal echocardiography (2DTEE) with surgery in 67 patients having aortic aneurysm and/or aortic dissection. Of these, 20 patients had aortic aneurysm without dissection, 21 aortic aneurysm and dissection, and 26 aortic dissection without aneurysm. 3DTEE diagnosed the type and location of aneurysm correctly in all patients unlike 2DTEE, which missed an aneurysm in one case. There were four cases of aortic aneurysm rupture. Three of them were diagnosed by 3DTEE but only one by 2DTEE, and one missed by both techniques. The mouth of saccular aneurysm, site of aortic aneurysm rupture, and communication sites between perfusing and nonperfusing lumens of aortic dissection could be viewed en face only with 3DTEE, enabling comprehensive measurements of their area and dimensions as well as increasing the confidence level of their diagnosis. In all patients with aortic dissection, 3DTEE enabled a more confident diagnosis of dissection because the dissection flap when viewed en face presented as a sheet of tissue rather than a linear echo seen on 2DTEE which can be confused with an artifact. 2DTEE missed dissection in one patient. In six cases the dissection flap involved the right coronary artery orifice by 3DTEE and surgery. These were missed by 2DTEE. Aortic regurgitation severity was more comprehensively assessed by 3DTEE than 2DTEE. Aneurysm size by 3DTEE correlated well with 2DTEE and surgery/computed tomography scan. In conclusion, 3DTEE provides incremental information over 2DTEE in patients with aortic aneurysm and dissection.

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Definitive Diagnosis of Descending Thoracic Aortic Dissection by Real Time/Live Three‐Dimensional Transthoracic Echocardiography

Cited by 9 publications

References 2 publications

Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Initial Experience with Live/Real Time Three‐Dimensional Transesophageal Echocardiography

Transthoracic 3D Echocardiographic Imaging of Type A Aortic Dissection – Case Presentation

Incremental Value of Live/Real Time Three‐Dimensional Transesophageal Echocardiography over the Two‐Dimensional Technique in the Assessment of Aortic Aneurysm and Dissection

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