Momentary and wide aortic regurgitation as an indicator of aortic dissection

被引：0
|
作者：
Inokuchi, Takafumi [1 ]
Sasaki, Osamu [1 ]
Nishioka, Toshihiko [1 ]
Ito, Hiroyuki [1 ]
Yoshimoto, Nobuo [1 ]
Yamabi, Hideaki [2 ]
Imanaka, Kazuhito [2 ]
Sasaki, Hideki [3 ]
机构：
[1] Saitama Med Univ, Div Cardiol, Saitama Med Ctr, 1981 Kamoda, Kawagoe, Saitama 3508550, Japan
[2] Saitama Med Univ, Div Cardiovasc Surg, Saitama Med Ctr, Kawagoe, Saitama, Japan
[3] Ehime Prefectural Cent Hosp, Div Cardiovasc Surg, Matsuyama, Ehime, Japan
来源：
GENERAL THORACIC AND CARDIOVASCULAR SURGERY | 2017年 / 65卷 / 03期
关键词：
Acute myocardial infarction; Congestive heart failure; Aortic dissection; Aortic regurgitation; Dissectional flap; MYOCARDIAL-INFARCTION; LEFT-VENTRICLE; INTIMAL FLAP;
D O I：
10.1007/s11748-015-0595-y
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
A 55-year-old female with a history of hypertension was admitted for dyspnea, epigastralgia and nausea. A chest X-ray showed pulmonary congestion. Transthoracic echocardiography (TTE) revealed severe left ventricular dysfunction with akinesis of the infero-posterior wall and Doppler color-flow mode showed mild aortic regurgitation (AR). Noninvasive positive pressure ventilation, intravenous heparin and diuretics were administered. Follow-up TTE revealed a dissection flap as well as momentary and wide AR only during isovolumetric relaxation. Contrast-enhanced computed tomography of the chest revealed Stanford type A aortic dissection. A momentary and wide AR in echocardiograms might serve as an important and useful indicator of aortic dissection in patients with acute myocardial infarction and congestive heart failure.
引用
收藏
页码：167 / 170
页数：4
相关论文
共 50 条
  • [1] Momentary and wide aortic regurgitation as an indicator of aortic dissection
    Takafumi Inokuchi
    Osamu Sasaki
    Toshihiko Nishioka
    Hiroyuki Ito
    Nobuo Yoshimoto
    Hideaki Yamabi
    Kazuhito Imanaka
    Hideki Sasaki
    General Thoracic and Cardiovascular Surgery, 2017, 65 : 167 - 170
  • [2] ACUTE AORTIC REGURGITATION WITH MYOCARDIAL INFARCTION: AN IMPORTANT CLUE FOR AORTIC DISSECTION
    Guvenc, Tolga Sinan
    Erer, Hatice Betul
    Cetin, Rengin
    Hasdemir, Hakan
    Ilhan, Erkan
    Turkkan, Ceyhan
    Eren, Mehmet
    JOURNAL OF EMERGENCY MEDICINE, 2013, 44 (01): : E5 - E8
  • [3] Risk factors of moderate-to-severe aortic regurgitation in patients with aortic dissection
    Shen, Hong
    Yao, Zhifeng
    Zhao, Jianyun
    Gong, Xue
    Xue, Yuan
    Yao, Chengling
    Tong, Chaoyang
    Wei, Lai
    Wang, Chunsheng
    Shu, Xianhong
    INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL MEDICINE, 2017, 10 (10): : 14911 - 14918
  • [4] Severe aortic regurgitation with intimal intussusception secondary to Debakey type I aortic dissection
    Nakamura, Ryo
    Honda, Kentaro
    Yuzaki, Mitsuru
    Nishimura, Yoshiharu
    ECHOCARDIOGRAPHY-A JOURNAL OF CARDIOVASCULAR ULTRASOUND AND ALLIED TECHNIQUES, 2020, 37 (04): : 652 - 653
  • [5] Acute aortic regurgitation due to aortic dissection confined to the sinus of Valsalva
    Kanki H.
    Shimamura Y.
    Kageyama T.
    Nagatomo Y.
    Akima T.
    Ishikawa S.
    Maisawa K.
    Murayama A.
    Journal of Echocardiography, 2013, 11 (2) : 72 - 74
  • [6] Transcatheter valve replacement for pure aortic regurgitation and previous history of aortic dissection and mitral replacement
    Hysi, Ilir
    Carjaliu, Ionut
    Pecheux, Max
    Fabre, Olivier
    INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2019, 29 (03) : 493 - 493
  • [7] Transcatheter Treatment of Pure Aortic Regurgitation in a Horizontal Aorta Complicated by Valve Embolization and Aortic Dissection
    Mangieri, Antonio
    Giannini, Francesco
    Laricchia, Alessandra
    Romano, Vittorio
    Lanzillo, Giuseppe
    Pagnesi, Matteo
    Ponticelli, Francesco
    Ancona, Marco
    Latib, Azeem
    Colombo, Antonio
    CARDIOVASCULAR REVASCULARIZATION MEDICINE, 2019, 20 (06) : 535 - 536
  • [8] The fate of aortic root and aortic regurgitation after supracoronary ascending aortic replacement for acute type A aortic dissection
    Ikeno, Yuki
    Yokawa, Koki
    Yamanaka, Katsuhiro
    Inoue, Takeshi
    Tanaka, Hiroshi
    Okada, Kenji
    Okita, Yutaka
    JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2021, 161 (02): : 483 - +
  • [9] Surgical treatment for chronic type a aortic dissection and aortic regurgitation in a patient with a tracheostoma
    Taniguchi S.
    Eishi K.
    Hashizume K.
    Ariyoshi T.
    Tsuneto A.
    Matsukuma S.
    General Thoracic and Cardiovascular Surgery, 2011, 59 (2) : 110 - 113
  • [10] Painless limited dissection of the ascending aorta presenting with aortic valve regurgitation
    Rahmatullah, SI
    Khan, IA
    Nair, VM
    Caccavo, ND
    Vasavada, BC
    Sacchi, TJ
    AMERICAN JOURNAL OF EMERGENCY MEDICINE, 1999, 17 (07): : 700 - 701
12345