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
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