Aorta Transesophageal 01 主动脉食道彩超01

Acute Dissection of Ascending Aorta 急性升主动脉夹层

Fig. 1: 2d esophageal 4-chamber 图1: 2d食道4腔图
Fig. 2: Color Doppler esophageal 5-chamber 图2: 彩色多普勒食道5腔图

Fig.3: 2d esophageal 5-chamber to longitudinal scan 图3: 2d食道5腔图转到纵向扫描
Fig. 4: Color Doppler esophageal 5-chamber to long axis scan 图4: 彩色多普勒食道5腔图转到长轴扫描
Fig. 5: 2d esophageal long axis 图5: 2d食道长轴
Fig. 6: Color Doppler esophageal long axis 图6: 彩色多普勒食道长轴
Fig. 7: Color Doppler esophageal short axis 图7: 彩色多普勒食道短轴
Fig. 8: 2d & Color Doppler esophageal short axis 图8: 2d及彩色多普勒食道短轴
Fig. 9: 2d esophageal short axis 图9: 2d食道短轴

(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).
位于右冠状动脉开口(图3-7)与头臂干起始点(图8-9)之间的A型急性升主动脉夹层。与之相关的有右室侧壁处轻度心包积液(图1),中度主动脉瓣返流 (图2)。夹层流出孔在主动脉弓水平 (图9)。亦可见于经胸彩超图像 (tt2732)

Intraoperative Images 术中图像

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Fig. 1

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Fig. 2

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Fig. 3
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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.

图片从患者头部角度拍摄。主动脉阻断进行中，（图2），夹层范围遍及整个主动脉弓。手术中，主动脉瓣得以保留，置换了升主动脉（图8）及主动脉弓。
AA:升主动脉; AV:主动脉瓣; L:左; PF:心包脂肪; R:右; RAA:右心耳