RT Book, Section
A1 Sofowora, Gbemiga
A1 Ijioma, Nkechinyere N.
A2 Orsinelli, David A.
SR Print(0)
ID 1132342729
T1 ECHOCARDIOGRAPHIC EVALUATION OF AORTIC PATHOLOGY
T2 Color Atlas and Synopsis of Echocardiography
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071747363
LK accesscardiology.mhmedical.com/content.aspx?aid=1132342729
RD 2024/04/23
AB Aortic  pathology  can  present  in  many  ways,  including  acute  aortic  syndromes,  such  as  an  aortic  dissection,  or  chronically,  as  in  cases  with  aortic  aneurysmal  disease  or  atherosclerotic  disease.  Echocardiography  is  especially  valuable  in  the  acute  setting  due  to  its  rapid  availability  and  portability,  enabling  its  use  in  the  emergency  department  (ED)  and  the  operating  room.  While  transthoracic  echocardiography  (TTE)  is  useful  to  evaluate  the  proximal  aorta,  the  aortic  valve,  left  ventricular  function,  and  the  presence  of  pericardial  effusion,  it  is  relatively  insensitive  for  the  diagnosis  of  acute  pathology  such  as  dissection.  Transesophageal  echocardiography  is  a  more  sensitive  and  specific  modality  to  evaluate  the  aorta  and  is  often  used  in  the  emergent  setting  or  in  the  operating  room.  Computed  tomographic  angiography  (CT  angiography)  is  often  even  more  readily  available  in  the  ED  and  in  many  institutions,  including  our  own,  has  supplanted  the  use  of  TEE  in  the  acute  setting  unless  there  are  contraindications  to  its  use.  Magnetic  resonance  angiography  (MRA)  is  an  ideal  imaging  modality  for  the  evaluation  and  follow-up  of  patients  with  aortic  pathology;  however,  its  role  in  the  emergent  situation,  especially  in  hemodynamically  unstable  patients,  is  limited.