Potential interest of intra-aorta ultrasound imaging for the diagnosis of aortic penetrating atherosclerotic ulcer.

The International Journal of Cardiovascular Imaging
Hu WeiJ P Bassand

Abstract

A 72-year-old man was admitted to our hospital for acute back pain. Transesophageal echocardiography (TEE), computed tomography (CT) and magnetic resonance imaging (MRI) all showed the presence of intramural hematoma (IMH) located in the descending aorta, with bilateral pleural effusions. The patient was initially referred for medical therapy and 'watchful waiting'. However, he continued to have back pain, so we decided to perform invasive aortography examination and intra-aortic ultrasound (IAU) imaging. No penetrating aortic ulcer (PAU) was found on multiple angiographic views, but intra-aorta ultrasound imaging clearly showed a PAU measuring 3x1 mm(2) in connection with the intramural hematoma. Even retrospective analysis of CT images failed to reveal this PAU. Therefore, we think that IAU imaging may be a useful tool in the diagnosis of PAU.

References

Dec 1, 1990·Radiology·E K YucelC A Athanasoulis
Oct 1, 1995·The American Journal of Cardiology·F AlfonsoC Macaya
Jul 4, 1998·Journal of Vascular Surgery·M A CoadyJ A Elefteriades
Jul 21, 1998·Journal of the American College of Cardiology·I VilacostaJ M Oyonarte
Feb 24, 2000·JAMA : the Journal of the American Medical Association·P G HaganK A Eagle
Jul 21, 2000·Radiographics : a Review Publication of the Radiological Society of North America, Inc·H HayashiN Matsunaga
Apr 30, 2004·The Journal of Thoracic and Cardiovascular Surgery·Kwang Ree ChoThoralf M Sundt

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Citations

Oct 16, 2008·Seminars in Ultrasound, CT, and MR·Caterina Missiroli, Ajay K Singh
Oct 16, 2007·The Surgical Clinics of North America·Riyad Karmy-JonesStephen Nicholls

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