Kasper W, Meinertz T, Kersting F, Lang K, Just H
Am J Cardiol. 1978 Aug;42(2):291-4. doi: 10.1016/0002-9149(78)90913-x.
A 33 year old woman with Marfan's syndrome and aortic root dissection was studied with precordial and suprasternal echocardiography. The precordial approach revealed some typical features of aortic root dissection. With suprasternal echocardiography it was possible to visualize the characteristic diagnostic feature of this disease: within the aortic lumen an m-shaped pattern--the aortic intimal flap--moving downward to the posterior aortic wall during systole. The diagnosis was confirmed with aortic cineangiography and intraoperative findings. Thus, suprasternal echocardiography can be a useful method of detecting aortic root dissection, especially in patients with aortic arch dissection alone.
一名患有马凡综合征和主动脉根部夹层的33岁女性接受了心前区和胸骨上超声心动图检查。心前区检查方法显示出一些主动脉根部夹层的典型特征。通过胸骨上超声心动图可以看到这种疾病的特征性诊断特征：在主动脉腔内，一个m形图案——主动脉内膜瓣——在收缩期向下移动至主动脉后壁。主动脉电影血管造影和术中发现证实了诊断。因此，胸骨上超声心动图可以成为检测主动脉根部夹层的一种有用方法，特别是对于仅患有主动脉弓夹层的患者。
