Roudaut R, Laffort P, Lafitte S, Sempé S, Durrieu-Jaïs C, Coste P
Service de cardiologie et soins intensifs, Hôpital cardiologique, CHU de Bordeaux, Pessac.
Arch Mal Coeur Vaiss. 1997 Dec;90(12 Suppl):1687-92.
The diagnosis and follow-up of acquired thoracic aortic disease have greatly improved with advances in transthoracic and transoesophageal echocardiographic techniques. In emergency situations, transoesophageal echocardiography is the key diagnostic investigation for dissection, significantly speeding up surgical referral. Atherosclerosis of the aorta is the second clinical situation in which transoesophageal echocardiography confirms its superiority over other imaging techniques for the recognition of intra-aortic debris carrying a high embolic risk.
随着经胸和经食管超声心动图技术的进步,获得性胸主动脉疾病的诊断和随访有了很大改善。在紧急情况下,经食管超声心动图是诊断主动脉夹层的关键检查手段,能显著加快手术转诊。主动脉粥样硬化是第二种临床情况,在这种情况下,经食管超声心动图证实了其在识别具有高栓塞风险的主动脉内碎屑方面优于其他成像技术。