Background: Computed Tomography Angiograph (CTA) is the golden standard for diagnosing aortic dissection (AD). However, echocardiography has some advantages over CTA in screening aortic root dissection. Objective: In this report, we present 2 cases of aortic root dissection not found by CTA but by echocardiography. Method: Two middle-aged male patients were admitted to our hospital due to similar symptoms of chest distress. Diastolic murmurs can be heard in the aortic valve second auscultation area. CTA showed aortic artifacts and no dissection signs. The preoperative echocardiography showed that the aortic root was dissected together with aortic valve, and then aortic regurgitation (AR) was formed during diastole. AD was considered. Result: The patients underwent Bentall operation with extracorporeal circulation through femoral arteriovenous cannula. extracorporeal circulation through femoral arteriovenous cannula. The patients were diagnosed as DeBakey type II AD with severe AR during operation. Both of them recovered and were discharged smoothly after the operation. Conclusions: The diagnostic significance of CTA may be limited in some localized aortic root dissections. At this point, we can improve the accuracy of the diagnosis by echocardiography.
| Published in | Clinical Medicine Research (Volume 10, Issue 3) |
| DOI | 10.11648/j.cmr.20211003.16 |
| Page(s) | 102-104 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2021. Published by Science Publishing Group |
Aortic Root Dissection, Diagnosis, Echocardiography, Bentall
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APA Style
Suining Li, Xiaoshen Zhang, Hua Lu, Jiawen Huang. (2021). Localized Aortic Root Dissection Detected by Echocardiography: Series of Two Cases. Clinical Medicine Research, 10(3), 102-104. https://doi.org/10.11648/j.cmr.20211003.16
ACS Style
Suining Li; Xiaoshen Zhang; Hua Lu; Jiawen Huang. Localized Aortic Root Dissection Detected by Echocardiography: Series of Two Cases. Clin. Med. Res. 2021, 10(3), 102-104. doi: 10.11648/j.cmr.20211003.16
AMA Style
Suining Li, Xiaoshen Zhang, Hua Lu, Jiawen Huang. Localized Aortic Root Dissection Detected by Echocardiography: Series of Two Cases. Clin Med Res. 2021;10(3):102-104. doi: 10.11648/j.cmr.20211003.16
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Download@article{10.11648/j.cmr.20211003.16,
author = {Suining Li and Xiaoshen Zhang and Hua Lu and Jiawen Huang},
title = {Localized Aortic Root Dissection Detected by Echocardiography: Series of Two Cases},
journal = {Clinical Medicine Research},
volume = {10},
number = {3},
pages = {102-104},
doi = {10.11648/j.cmr.20211003.16},
url = {https://doi.org/10.11648/j.cmr.20211003.16},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211003.16},
abstract = {Background: Computed Tomography Angiograph (CTA) is the golden standard for diagnosing aortic dissection (AD). However, echocardiography has some advantages over CTA in screening aortic root dissection. Objective: In this report, we present 2 cases of aortic root dissection not found by CTA but by echocardiography. Method: Two middle-aged male patients were admitted to our hospital due to similar symptoms of chest distress. Diastolic murmurs can be heard in the aortic valve second auscultation area. CTA showed aortic artifacts and no dissection signs. The preoperative echocardiography showed that the aortic root was dissected together with aortic valve, and then aortic regurgitation (AR) was formed during diastole. AD was considered. Result: The patients underwent Bentall operation with extracorporeal circulation through femoral arteriovenous cannula. extracorporeal circulation through femoral arteriovenous cannula. The patients were diagnosed as DeBakey type II AD with severe AR during operation. Both of them recovered and were discharged smoothly after the operation. Conclusions: The diagnostic significance of CTA may be limited in some localized aortic root dissections. At this point, we can improve the accuracy of the diagnosis by echocardiography.},
year = {2021}
}
TY - JOUR T1 - Localized Aortic Root Dissection Detected by Echocardiography: Series of Two Cases AU - Suining Li AU - Xiaoshen Zhang AU - Hua Lu AU - Jiawen Huang Y1 - 2021/06/25 PY - 2021 N1 - https://doi.org/10.11648/j.cmr.20211003.16 DO - 10.11648/j.cmr.20211003.16 T2 - Clinical Medicine Research JF - Clinical Medicine Research JO - Clinical Medicine Research SP - 102 EP - 104 PB - Science Publishing Group SN - 2326-9057 UR - https://doi.org/10.11648/j.cmr.20211003.16 AB - Background: Computed Tomography Angiograph (CTA) is the golden standard for diagnosing aortic dissection (AD). However, echocardiography has some advantages over CTA in screening aortic root dissection. Objective: In this report, we present 2 cases of aortic root dissection not found by CTA but by echocardiography. Method: Two middle-aged male patients were admitted to our hospital due to similar symptoms of chest distress. Diastolic murmurs can be heard in the aortic valve second auscultation area. CTA showed aortic artifacts and no dissection signs. The preoperative echocardiography showed that the aortic root was dissected together with aortic valve, and then aortic regurgitation (AR) was formed during diastole. AD was considered. Result: The patients underwent Bentall operation with extracorporeal circulation through femoral arteriovenous cannula. extracorporeal circulation through femoral arteriovenous cannula. The patients were diagnosed as DeBakey type II AD with severe AR during operation. Both of them recovered and were discharged smoothly after the operation. Conclusions: The diagnostic significance of CTA may be limited in some localized aortic root dissections. At this point, we can improve the accuracy of the diagnosis by echocardiography. VL - 10 IS - 3 ER -
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