Knap M, Nienaber C A
Universitätskrankenhaus Eppendorf, Abteilung für Kardiologie, Hamburg.
Z Kardiol. 1998 May;87(5):382-6. doi: 10.1007/s003920050195.
Suspected aortic dissection requires undelayed diagnosis by use of imaging modalities such as transesophageal ultrasound, contrast enhanced computed tomography (CT), or magnetic resonance imaging (MRI). This case report describes an asymptomatic man with echocardiographic suspicion of aortic arch dissection. The discordance with the clinical presentation led to CT, MRI, and eventually to contrast angiography, eventually confirming extensive haustration of the thoracic aorta and excluding any acute or chronic dissection. This case demonstrates haustration of the thoracic aorta as a potential differential diagnostic problem when solely using ultrasound techniques.
疑似主动脉夹层需要通过经食管超声、增强计算机断层扫描（CT）或磁共振成像（MRI）等成像方式进行及时诊断。本病例报告描述了一名无症状男性，经超声心动图怀疑有主动脉弓夹层。临床表现的不一致促使进行CT、MRI检查，最终进行了造影血管造影，最终证实胸主动脉有广泛的锯齿状影像，并排除了任何急慢性夹层。本病例表明，仅使用超声技术时，胸主动脉的锯齿状影像可能是一个潜在的鉴别诊断问题。
