Aorta Transthoracic 01 主动脉 经胸超声

Sino-Tubular Junction: Atheroma 窦管交界处: 动脉粥瘤

Fig. 1. 2d parasternal long axis 图1. 2d 胸骨旁长轴
Fig. 2. Color Doppler parasternal long axis 图2. 彩色多普勒胸骨旁长轴
Fig. 3. 2d parasternal long axis 图3. 2d 胸骨旁长轴

(tt2138) MO, male, 73 y, BSA= 2.03, HR= 87 bpm
HP Sonos 4500 – 2d parasternal long axis – Mild fibrotic thickening of AV cusps.
2d 胸骨旁长轴 – 主动脉瓣瓣叶轻度纤维化增厚。

Fig. 4. 2d parasternal long axis 图4. 2d 胸骨旁长轴

Focused view of aortic root and ascending aorta. A protruding atheroma of posterior sino-tubular junction can be seen in systole (white arrow). The atheroma does not cause flow disturbances (color aliasing) near the posterior aortic wall. Detection of the atheroma must rely on focused imaging of the aortic walls and close inspection of the 2D image
主动脉根部和升主动脉的聚焦视图。 后窦管交界处收缩期可见突出的动脉粥瘤(白色箭头)。 该动脉粥瘤不引起主动脉后壁附近的血流干扰(彩色混淆现象)。 动脉粥瘤的侦测必须依赖于主动脉壁的聚焦视图和对二维图像的仔细检查。


Aortic Arch: Mobile Atheromas 主动脉弓: 可移动的动脉粥瘤

Fig. 1. 2d, jugular view, long axis of aortic arch 图1. 2d, 颈动脉视图, 主动脉弓长轴
Fig. 2. 2d, jugular view, short axis of aortic arch 图2. 2d, 颈动脉视图, 主动脉弓短轴
Fig. 3. color Doppler, jugular view, long axis of aortic arch 图3. 彩色多普勒, 颈动脉视图, 主动脉弓长轴
Fig. 4. Ath: atheroma; SAB: supra-aortic branches 图4. Ath: 动脉粥瘤; SAB: 主动脉上分支
Fig. 5. PA: pulmonary artery 图5. PA: 肺动脉
Fig. 6. Ath: atheroma Ath: 动脉粥瘤

(tt3430) M, 70 y.
Severe mobile atheromas of the aortic arch with thrombi. Pre-operative examination for aneurysm of abdominal aorta.
主动脉弓重度可移动的粥瘤,伴血栓。腹主动脉瘤术前筛查。


Aortic Arch Atheroma & Calcification 主动脉弓粥瘤及钙化

Fig. 1. 2d jugular long axis aorta 图1. 2d 颈动脉长轴主动脉

(#1144) F, 66 y. Ge Vivid95
2D Jugular long axis of aortic arch. 2D 颈动脉长轴主动脉弓
Examination for severe AR. 主动脉瓣重度返流检查
Calcific plaque and atheroma (not mobile) on inner (inferior) wall of the aortic arch.
主动脉弓内(下)壁的钙化斑块和动脉粥瘤(不可移动)。
AO: aortic arch; BCT: brachio cephalic trunk; LCA: left carotid artery.
AO: 主动脉弓; BCT: 头臂动脉干 ; LCA: 左颈动脉

Fig. 2. 2d jugular long axis aorta 图2. 2d 颈动脉长轴主动脉
Fig. 3. 2d jugular long axis aorta 图3. 2d 颈动脉长轴主动脉


Dilatation of Root & Ascending Aorta 根部扩张及升主动脉

Fig. 1. 2d parasternal long axis 图1. 2d胸骨旁长轴
Fig. 2. Color Doppler parasternal long axis, aortic valve 图2. 彩色多普勒胸骨旁长轴,主动脉瓣

Fig. 3. Color Doppler parasternal short axis, aortic valve 图3. 彩色多普勒胸骨旁短轴,主动脉瓣
Fig. 4. 2d subcostal 4-chamber 图4. 2d剑突下四腔图
Fig. 5. 2d parasternal long axis ascending aorta 图5. 2d胸骨旁长轴升主动脉

(tt2425) M, 57 y.
Aneurysmatic dilatation of the aortic root and ascending aorta. Mild AR, central.
主动脉根部和升主动脉动脉瘤性扩张。主动脉瓣轻度中心返流。

Fig. 6. 2d parasternal long axis ascending aorta 图6. 2d胸骨旁长轴升主动脉

Fig. 7. M-mode aortic root 图7. M型主动脉根

Dissection of Ascending Aorta 升主动脉夹层

Fig. 1. 2d parasternal long axis ascending aorta 图1. 2d胸骨旁长轴升主动脉
Fig. 2. M-mode ascending aorta 图2. M型升主动脉
Fig. 3. Color Doppler parasternal long axis ascending aorta 图3. 彩色多普勒胸骨旁长轴升主动脉
Fig. 4. 2d jugular long axis aortic arch 图4. 2d颈动脉长轴主动脉弓

Fig. 5. Color Doppler jugular long axis aortc arch 图5. 彩色多普勒颈动脉长轴主动脉弓

(tt2732) F, 68 y. Sonos 2000. Chest pain and LBBB. Aortic dissection type A, anterior wall of ascending aorta (see intimal mobile flap in 2D parasternal and jugular views, and M-mode) between sino-tubular junction and brachiocephalic branch. Note color Doppler flow in aortic true lumen distal to flap in arch. Associated moderate AR. See also intra-operative TE exam (te0373).
胸痛及左束支传导阻滞(LBBB)。A型主动脉夹层, 升主动脉前壁 (2D胸骨旁和颈动脉视图及M型中可见可移动的内膜皮瓣) 窦管交界处和头臂干之间。 注意主动脉真腔内,即主动脉弓内皮瓣的远端的彩色多普勒血流。符合中度主动脉瓣返流。亦可见于术中食道彩超检查(te0373)