Jansen Klomp Wouter W, Brandon Bravo Bruinsma George J, van 't Hof Arnoud W, Grandjean Jan G, Nierich Arno P
Department of Cardiology, Isala Clinics, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands; Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, Netherlands.
Cardiothoracic Surgery, Isala Clinics, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands.
Int J Vasc Med. 2016;2016:4726094. doi: 10.1155/2016/4726094. Epub 2016 Feb 4.
The most severe complications after cardiac surgery are neurological complications including stroke which is often caused by emboli merging from atherosclerosis in the ascending aorta to the brain. Information about the thoracic aorta is crucial in reducing the embolization risk for both surgical open and closed chest procedures such as transaortic heart valve implantation. Several techniques are available to screen the ascending aorta, for example, transesophageal echocardiography (TEE), epiaortic ultrasound, TEE A-view method, manual palpation, computed tomography, and magnetic resonance imaging. This paper provides a description of the advantages and disadvantages of these imaging techniques.
心脏手术后最严重的并发症是神经并发症，包括中风，中风通常由升主动脉粥样硬化形成的栓子进入大脑所致。对于降低诸如经主动脉心脏瓣膜植入等外科开胸和闭式胸部手术的栓塞风险而言，有关胸主动脉的信息至关重要。有多种技术可用于筛查升主动脉，例如经食管超声心动图（TEE）、主动脉外膜超声、TEE A视图法、手动触诊、计算机断层扫描和磁共振成像。本文描述了这些成像技术的优缺点。
