Aorta Transesophageal 01 主动脉 经食道超声
Acute Dissection of Ascending Aorta
(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).
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.