Aorta Transesophageal 01 主动脉 经食道超声

Acute Dissection of Ascending Aorta

Fig. 1: 2d esophageal 4-chamber
Fig. 2: Color Doppler esophageal 5-chamber

Fig.3: 2d esophageal 5-chamber to longitudinal scan
Fig. 4: Color Doppler esophageal 5-chamber to long axis scan
Fog. 5: 2d esophageal long axis
Fig. 6: Color Doppler esophageal long axis
Fig. 7: Color Doppler esophageal short axis
Fig. 8: 2d & Color Doppler esophageal short axis
Fig. 9: 2d esophageal short axis

(te0373) F, 68 y.
Type A acute aortic dissection between the ostium of the right coronary artery (Fig. 3-7) and the origin of the brachiocephalic trunk (Fig. 8-9). There are associated mild pericardial effusion lateral to the RV (Fig. 1), and moderate aortic regurgitation (Fig. 2). Outlet foramen of dissection at the level of the arch (Fig. 9). See also transthoracic imaging (tt2732).

Intraoperative Images

Fig. 1

Fig. 2

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Fig. 7
Fig. 8

Pictures taken from the head of the patient. During clamping of aorta (Fig. 2), dissection extends to include all the aortic arch. At surgery, aortic valve was preserved; replacement of ascending aorta (Fig. 8) and arch.

AA: ascending aorta; AV: aortic valve; L: left; PF: pericardial fat; R: right; RAA: right atrial appendage.