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European Heart Journal 1988 9(12):1308-1316;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

The Value of transoesophageal echocardiography for diagnosis of thoracic aorta pathology

M.A. TAAMS*, W.J. GUSSENHOVEN*,{dagger},, L.A. SCHIPPERS*, J. ROELANDT*, L.A. VAN HERWERDEN*, E. BOS*, N. DE JONG* and N. BOM*

*Thorax Center, University Hospital Dijkzigt, Erasmus University Rotterdam
{dagger}The Interuniversity Cardiology Institute of The Netherlands

Received 5 April 1988; revised 5 July 1988; .

Address for reprint: W. J. Gussenhoven. MD. Thorax Center,Ee 2302. Erasmus University Rotterdam. P.O. Box 1738. 3000 DR Rotterdam. The Netherlands.

Abstract

The potential of transoesophageal echocardiography for preoperative diagnosis of thoracic aorta pathology was evaluation in 15 patients with aortic aneurysm. The transoesophageal echocardiographic findings were compared with 14 computed tomograms and 21 angiograms. Six patients underwent only transoesophageal echocardiography. All patients were operated upon and the surgical findings were used as a reference for these diagnostic methods. Transoesophageal echocardiography establised a complete and correct diagnosis in 27 patients. The diagnosis was partically correct in three patients, all having an aortic dissection. A complete and correct diagnosis was obtained by computed tomography and angiography in 8 and 17 patients, respectively. The results indicated that transoesophageal echocardiography is a sensitive and convenient method for the definitive diagnosis of pathology of the thoracic aorta. It could become the technique of choice in patients suspected of having acute aorta pathology as it enables a rapid and definitive diagnosis at the bedside.

Key Words: transoesophageal echocardiography, • aortic dissection, • aortic aneurysm.


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