Vilacosta I, Antonio Castillo J, Alberto San Román J, Gómez J, Jesús Rollán M, Arganda L, Peral V, Batlle E, Ferreirós J, Aragoncillo P, Sánchez-Harguindey L
Servicio de Cardiología, Hospital Universitario de San Carlos, Madrid.
Rev Esp Cardiol. 1996 Mar;49(3):196-203.
The usefulness of transesophageal echocardiography in the diagnosis and assessment of patients with aortic dissection has been widely demonstrated. The aim of this study was to evaluate the role of this technique in the detection of intramural aortic hematoma and in the follow-up of these patients.
The records of 51 patients with aortic dissection by transesophageal echocardiography diagnosed between May 1990 and May 1994 were reviewed.
The diagnosis of intramural aortic hematoma was established in 6 patients by transesophageal echocardiography (11%). This diagnosis was confirmed either anatomically (3 patients) or with an additional diagnostic technique (computed tomography or magnetic resonance imaging) and on the basis of echocardiographic follow-up changes (3 patients).
Intramural aortic hematoma represents an infrequent variant of aortic dissection that can be detected by transesophageal echocardiography and is usually unrecognized by aortography.
经食管超声心动图在主动脉夹层患者的诊断和评估中的作用已得到广泛证实。本研究的目的是评估该技术在检测主动脉壁内血肿以及对这些患者进行随访中的作用。
回顾了1990年5月至1994年5月经经食管超声心动图诊断为主动脉夹层的51例患者的记录。
经食管超声心动图确诊6例主动脉壁内血肿患者（11%）。该诊断通过解剖学证实（3例患者）或采用其他诊断技术（计算机断层扫描或磁共振成像）以及基于超声心动图随访变化得以确认（3例患者）。
主动脉壁内血肿是主动脉夹层的一种罕见变体，可通过经食管超声心动图检测到，而主动脉造影通常无法识别。
