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经食管超声心动图诊断胸主动脉假性动脉瘤

[Pseudoaneurysm of the thoracic aorta diagnosed by transesophageal echocardiography].

作者信息

Apró D, Motyovszki A, Mezey B

机构信息

Szív Centrum Kardiológiai Osztály, Zala megyei Kórház, Zalaegerszeg.

出版信息

Orv Hetil. 1998 Mar 8;139(10):565-7.

PMID:9538641
Abstract

Transesophageal echocardiography is a sensitive and specific procedure that gives one of the best opportunities to examine thoracic aortic anatomy and blood flow. The non-traumatic disruption of the aorta is a life threatening injury that requires rapid diagnosis and treatment. Two cases are presented which were shown to have pseudoaneurysm of the thoracic aorta by noninvasive methods. The etiologic factor was atherosclerotic vascular disease in both cases. We performed transesophageal echocardiography first and confirmed the diagnosis by gated magnetic resonance imaging and by autopsy. These cases highlight the value of techniques such as these to reliably asses the heart and great vessels without the need of more invasive procedures.

摘要

经食管超声心动图是一种敏感且特异的检查方法,为检查胸主动脉解剖结构和血流状况提供了最佳机会之一。主动脉的非创伤性破裂是一种危及生命的损伤,需要快速诊断和治疗。本文介绍了两例通过无创方法显示为胸主动脉假性动脉瘤的病例。两例的病因均为动脉粥样硬化性血管疾病。我们首先进行了经食管超声心动图检查,然后通过门控磁共振成像和尸检证实了诊断。这些病例凸显了此类技术在无需进行更多侵入性操作的情况下可靠评估心脏和大血管的价值。

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Orv Hetil. 1998 Mar 8;139(10):565-7.
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