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Stephen P. Wiet, MD, William H. Pearce, MD, Walter J

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Presentation on theme: "Stephen P. Wiet, MD, William H. Pearce, MD, Walter J"— Presentation transcript:

1 Utility of transesophageal echocardiography in the diagnosis of disease of the thoracic aorta 
Stephen P. Wiet, MD, William H. Pearce, MD, Walter J. McCarthy, MD, Axel W. Joob, MD, James S.T. Yao, MD, David D. McPherson, MD  Journal of Vascular Surgery  Volume 20, Issue 4, Pages (October 1994) DOI: / (94) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Schematic of relationship of the esophagus to thoracic aorta with TEE probe within esophagus. Fans radiate from probe in horizontal and vertical interrogation planes. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Illustrates central schematic of the thoracic aorta surrounded by cross-sectional TEE images from complex type 1 aortic dissection. A, Dissection flap (arrow) is visible just above aortic valve. B, Color-flow Doppler scanning indicates turbulent flow to dissection flap with aortic insufficiency (arrows). C, Descending thoracic aorta dissection flap (arrow), true lumen (TL) and false lumen (FL). D, Interluminal communication (arrows) between true lumen and false lumen identified by color-flow Doppler scanning. Arrows point to flow into false lumen. E, Thrombus (arrows) in false lumen of dissection. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Schematic illustration of descending thoracic aorta with fan representing plane of interrogation by TEE probe. Cross-sectional view of large aneurysm (An) in descending thoracic aorta (Ao) is clearly seen. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Illustrated cross-sectional view of descending thoracic aorta 5 cm below aortic arch demonstrates large plaque (pl). A, Large plaque (pl→) seen in horizontal view. B, Large plaque (pl →) seen in vertical plane. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Schematic representation and TEE image in horizontal plane illustrates multiple, highly mobile plaques (arrows) in aortic arch of man with multiple transient ischemic attacks. Journal of Vascular Surgery  , DOI: ( / (94) ) Copyright © 1994 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions


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