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Transesophageal Echocardiography After Contrast‐Enhanced CT Angiography in the Diagnosis of Type A Aortic Dissection
Author(s) -
Gologorsky Edward,
Karras Riny,
Gologorsky Angela,
Ricci Marco,
Salerno Tomas A.
Publication year - 2011
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2011.01282.x
Subject(s) - medicine , aortic dissection , radiology , angiography , contrast (vision) , aorta , cardiology , artificial intelligence , computer science
Contrast‐enhanced CT angiography (CTA) currently is considered the diagnostic modality of choice in the diagnosis of acute type A aortic dissection. However, pitfalls associated with acquisition and interpretation of CTA images may result in misdiagnosis. We present examples of false‐positive and false‐negative interpretations of CTA in emergency situations that underline the importance of intraoperative preincision transesophageal echocardiography (TEE) in the diagnosis and management of this highly lethal entity . (J Card Surg 2011;26:495‐500)