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

页码：167 / 170

页数：4

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