Kronzon I, Tunick P A
Department of Medicine, New York University Medical Center, NY 10016.
Prog Cardiovasc Dis. 1993 Jul-Aug;36(1):39-60. doi: 10.1016/0033-0620(93)90021-5.
TEE has become one of the most powerful tools for evaluating patients with unexplained stroke, TIA, and peripheral and pulmonary embolization. This is especially encouraging in view of the previously disappointing results of TTE in these patients. In addition to the dramatic results in terms of clot visualization and the other intracardiac sources of embolization described previously, a new extracardiac source has been identified, namely protruding atheromas in the thoracic aorta. These atheromas have been seen for the first time because of the new diagnostic window that has been opened by the development of TEE. Their recognition and follow-up may lead to information that will change the approach to a significant number of patients with embolic ischemic episodes.
经食管超声心动图（TEE）已成为评估不明原因中风、短暂性脑缺血发作（TIA）以及外周和肺栓塞患者最有力的工具之一。鉴于之前经胸超声心动图（TTE）在这些患者中令人失望的结果，这尤其令人鼓舞。除了在血栓可视化以及先前描述的其他心内栓塞源方面取得显著成果外，还发现了一种新的心外栓塞源，即胸主动脉粥样硬化斑块突出。由于TEE的发展开辟了新的诊断窗口，这些粥样硬化斑块首次被发现。对它们的识别和随访可能会带来能改变大量栓塞性缺血发作患者治疗方法的信息。
