经食管超声心动图诊断胸主动脉瘤的陷阱

Pitfalls in the diagnosis of thoracic aortic aneurysm by transesophageal echocardiography.

作者信息

Kronzon I, Demopoulos L, Schrem S S, Pasternack P, McCauley D, Freedberg R S

机构信息

Department of Medicine, New York University Medical Center, NY.

出版信息

J Am Soc Echocardiogr. 1990 Mar-Apr;3(2):145-8. doi: 10.1016/s0894-7317(14)80509-9.

DOI:10.1016/s0894-7317(14)80509-9

PMID:2334545

Abstract

A 74-year-old man underwent transesophageal echocardiography to evaluate the possibility of dissection of the descending aorta. The study demonstrated a round lumen that contained an echogenic mass mimicking aortic aneurysm with thrombus. However, computerized tomographic scanning identified the lumen as the pleural cavity containing a collapsed lung. The esophagus was on the right side of the spine, and the transesophageal technique could not visualize the descending aorta.

摘要

一名74岁男性接受经食管超声心动图检查，以评估降主动脉夹层的可能性。该检查显示一个圆形管腔，其中有一个回声团块，类似伴有血栓的主动脉瘤。然而，计算机断层扫描显示该管腔为含有萎陷肺的胸腔。食管位于脊柱右侧，经食管技术无法显示降主动脉。