Premium
Transesophageal and Transpharyngeal Ultrasound Demonstration of Reversed Diastolic Flow in Aortic Arch Branches and Neck Vessels in Severe Aortic Regurgitation
Author(s) -
Khanna Deepak,
Sinha Ashish,
Nanda Navin C.,
Gupta Ritesh,
Sidhu Maninder,
Vengala Srinivas,
Dod Harvinder S.,
Ilgenli T. Fikret
Publication year - 2004
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.0742-2822.2004.03173.x
Subject(s) - regurgitation (circulation) , medicine , cardiology , aortic arch , diastole , aortic valve , stenosis , esophagus , aortic dissection , transesophageal echocardiogram , aorta , ventricular outflow tract , right common carotid artery , anatomy , common carotid artery , carotid arteries , blood pressure
In the current study, we describe an adult patient with torrential aortic regurgitation due to an aortic dissection flap interfering with aortic cusp motion, in whom a transesophageal echocardiogram with the probe positioned in the upper esophagus and transpharyngeal ultrasound examination demonstrated prominent reversed flow throughout diastole in the left subclavian, left vertebral, left common carotid, and left internal carotid arteries. Another unique finding was the demonstration of aortic valve leaflets held in the fully opened position in diastole by the dissection flap as it prolapsed into the left ventricular outflow tract, dramatically documenting the mechanism of torrential aortic regurgitation in this patient. (ECHOCARDIOGRAPHY, Volume 21, May 2004)