Echobasics [start] [author] [print] [impressum]

Echocardiography 5 minutes before starting


Overview


[Echocardiographic examinations]


[Cardiac function and PA-pressure]


[Examples of pathological findings]
[Valvular heart disease]
[Intracardiac masses]
[Pericardial disease]
[Cardiomyopathies]
[Aortic dissection]
[Congenital heart disease]
[echo|case]


Aortic dissection



Classification of aortic dissection






Standford A

Left: dissection membrane starts approx. 2 cm above the aortic valve, the ascendant aorta is aneurysmatic.

Right: view of the ascendant aorta, so far it can be seen in the TEE examination. The left main bronchus hinders usually visuali- zation of intersection of ascendant aorta to the aortic arch.

Left: cross-section of the ascen- dant aorta in the same case. Notice the intramural hematoma previous to start of dissection membrane.

Right: further away of the aortic valve, intramural hematoma and start of dissection membrane.

Standford B

Left: descendant aorta short after intersection from the aortic arch. Flat, wall-adherent plaques.

Right: same case, further distal from in the descendant aorta, a large intramural hematoma can be seen.

Left: more distal, a dissection membrane with entrance tear can be seen. False lumen at the bottom of the image.

Right: dissection membrane with entrance tear and color Doppler flow display.

Left: dissection membrane with entrance tear and PW-Doppler flow display.

Right: further distal in the descen- dant aorta, pronounced spontane- ous echo contrast in false lumen.



[overview]