Department of Cardiovascular Surgery, Air Force Medical Center, Beijing, China.
Echocardiography. 2020 Aug;37(8):1304-1307. doi: 10.1111/echo.14689. Epub 2020 Jul 27.
Contrast-enhanced transthoracic echocardiography (cTTE) plays an important role in the diagnosis of intramural hematoma (IMH) and aortic dissection (AD), and is also necessary for the adequate management from the assessment of findings. We hereby present an interesting case in which cTTE provides additional value over contrast-enhanced computed tomography (CT) in the diagnosis and the morphological characterization of IMH and AD. A 58-year-old man presented to the emergency department with intermittent chest pain. After emergency consultation, an enhanced CT scan showed an acute aortic intramural hematoma involving aortic arch and descending aorta. Nevertheless, the entry tear and false lumen flow direction were identified by cTTE, which suggested an acute type B AD.
经胸超声心动图（cTTE）在诊断壁内血肿（IMH）和主动脉夹层（AD）方面发挥着重要作用，对于评估发现结果，也需要充分的管理。在此，我们报告了一个有趣的病例，cTTE 在诊断和形态学特征方面提供了比增强 CT（CT）更多的价值。一名 58 岁男性因间歇性胸痛到急诊科就诊。急诊会诊后，增强 CT 扫描显示急性主动脉壁内血肿累及主动脉弓和降主动脉。然而，cTTE 确定了入口撕裂和假腔血流方向，提示急性 B 型 AD。
