Dissection of the ascending aorta mimicking an acute coronary syndrome: Usefulness of transthoracic echocardiography for the differential diagnosis

Italian Heart Journal

Volumn 3, Issue 8, 2002, Pages 490-494

  Scarabeo, Virginia ^a   Di Marco, Attilio ^a   Pantaleoni, Attilio ^a   Contessotto, Francesco ^a   Mantovani, Enzo ^a   Piovesana, Pier Giuseppe ^a  

^a Azienda ULSS 15 del Veneto   (Italy)

Author keywords

Aortic dissection; Coronary heart disease; Echocardiography; Myocardial ischemia

Indexed keywords

ANTICOAGULANT AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; FIBRINOGEN RECEPTOR ANTAGONIST; FIBRINOLYTIC AGENT; NITRATE;

ADULT; AGED; ANGINA PECTORIS; ANTICOAGULANT THERAPY; AORTA DISSECTION; AORTA SURGERY; ARTICLE; ASCENDING AORTA; CASE REPORT; CLINICAL FEATURE; DIFFERENTIAL DIAGNOSIS; DISEASE SEVERITY; EARLY DIAGNOSIS; ELECTROCARDIOGRAPHY; EMERGENCY SURGERY; FIBRINOLYTIC THERAPY; HEART MUSCLE ISCHEMIA; HUMAN; MALE; SIDE EFFECT; TRANSTHORACIC ECHOCARDIOGRAPHY; UNNECESSARY PROCEDURE;

AGED; ANEURYSM, DISSECTING; AORTIC ANEURYSM; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAPHY; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA;

EID: 0036703136     PISSN: 1129471X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (23)

1. Hagan PJ, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD). New insights into an old disease. JAMA 2000; 283: 897-903.
2. Erbel R, Alfonso F, Boileau C, et al. Diagnosis and management of aortic dissection. Eur Heart J 2001; 22: 1642-81.
3. Daily PO, Trueblood HW, Stinson EB, et al. Management of acute aortic dissections. Ann Thorac Surg 1970; 10: 237-47.
4. Hirst AE Jr, Johns VJ Jr, Kime SW Jr. Dissecting aneurysm of the aorta: a review of 505 cases. Medicine 1958; 37: 217-79.
5. Spittell PC, Spittell JA Jr, Joyce JW, et al. Clinical features and differential diagnosis of aortic dissection: experience with 236 cases (1980 through 1990). Mayo Clin Proc 1993; 68: 642-51.
6. Kamp TJ, Goldschmidt-Clermont PJ, Brinker JA, Resar JR. Myocardial infarction, aortic dissection and thrombolytic therapy. Am Heart J 1994; 128: 1234-7.
7. Hirata K, Kyushima M, Asato H. Electrocardiographic abnormalities in patients with acute aortic dissection. Am J Cardiol 1995; 76: 1207-12.
8. Butler J, Davies AH, Westaby S. Streptokinase in acute aortic dissection. BMJ 1990; 300: 517-9.
9. Melchior T, Hallam D, Johansen BE. Aortic dissection in the thrombolytic era: early recognition and optimal management is a prerequisite for increased survival. Int J Cardiol 1993; 42: 1-6.
10. Alfonso F, Almeria C, Fernandez-Ortiz A, et al. Aortic dissection occurring during coronary angioplasty: angiographic and transesophageal echocardiographic findings. Cathet Cardiovasc Diagn 1997; 42: 412-5.
11. Svensson LG, Crawford ES. Aortic dissection and aortic aneurysm surgery: clinical observations, experimental investigations and statistical analyses. Part II. Curr Probl Surg 1992; 29: 913-1057.
12. Penco M, Paparoni S, Dagianti A, et al. Usefulness of transesophageal echocardiography in the assessment of aortic dissection. Am J Cardiol 2000; 86 (Suppl): 53G-56G.
13. Erbel R. Role of transesophageal echocardiography in dissection of the aorta and evaluation of degenerative aortic disease. Cardiol Clin 1993; 11: 461-73.
14. White RD, Lipton MJ, Higgins CB, et al. Noninvasive evaluation of suspected thoracic aortic disease by contrast-enhanced computed tomography. Am J Cardiol 1986; 57: 282-90.
15. Vasile N, Mathieu D, Keita K, Lellouche D, Bloch G, Cachera JP. Computed tomography of thoracic aortic dissection: accuracy and pitfalls. J Comput Assist Tomogr 1986; 10: 211-5.
16. Cigarroa JE, Isselbacher EM, De Sanctis RW, et al. Diagnostic imaging in the evaluation of suspected aortic dissection. Old standards and new directions. N Engl J Med 1993; 328: 35-43.
17. Amparo EG, Higgins CB, Hricak H, Sollitto R. Aortic dissection: magnetic resonance imaging. Radiology 1985; 155: 399-406.
18. Khandheria BK, Tajik AJ, Taylor CL, et al. Aortic dissection: review of value and limitations of two-dimensional echocardiography in a six-year experience. J Am Soc Echocardiogr 1989; 2: 17-24.
19. Nienaber CA, Von Kodolitsch Y, Nicolas V, et al. The diagnosis of thoracic aortic dissection by non invasive imaging procedures. N Engl J Med 1993; 328: 1-9.
20. Nienaber CA, Spielman RP, Kadolitsch Y, et al. Diagnosis of thoracic aortic dissection. Magnetic resonance imaging versus transesophageal echocardiography. Circulation 1992; 85: 434-47.
21. Sechtem U, Pflugfelder PW, Cassidy MM, et al. Mitral or aortic regurgitation: quantification of regurgitant volumes with cine MR imaging. Radiology 1988; 167: 425-30.
22. Iliceto S, Nanda NC, Rizzon P, et al. Color Doppler evaluation of aortic dissection. Circulation 1987; 75: 748-55.
23. Granato JE, Dee P, Gibson RS. Utility of two-dimensional echocardiography in suspected ascending aortic dissection. Am J Cardiol 1985; 56: 123-9.