1 Citation (Scopus)

Abstract

Acute aortic syndrome (AAS) is a summary term for three life-threatening acute aortic pathologies: aortic dissection, intramural hematoma, and penetrating aortic ulcer. Transthoracic echocardiography (TTE) is a screening tool for assessing chest pain in an emergency setting, diagnosing AAS with suboptimal sensitivity. However, TTE is very important in assessing potentially high-risk AAS features, e.g., pericardial effusion, left ventricular regional wall motion abnormalities, dilated aortic root, and aortic regurgitation; and diagnosing other conditions with similar clinical AAS features, e.g., acute coronary syndrome and acute pulmonary embolism. Computed tomography (CT) is the gold standard for diagnosing AAS. Multidetector CT has higher sensitivity and specificity compared to conventional CT. Transesophageal echocardiography (TEE) is for intraoperative guidance and perioperative monitoring of AAS, and if a local TEE expert is available, diagnosing AAS.

Original languageEnglish
Pages (from-to)39-45
Number of pages7
JournalJournal of Experimental and Clinical Medicine(Taiwan)
Volume1
Issue number1
DOIs
Publication statusPublished - Dec 2009

Fingerprint

Echocardiography
Transesophageal Echocardiography
Tomography
Aortic Valve Insufficiency
Pericardial Effusion
Multidetector Computed Tomography
Acute Coronary Syndrome
Chest Pain
Pulmonary Embolism
Hematoma
Ulcer
Dissection
Emergencies
Pathology
Sensitivity and Specificity

Keywords

  • acute aortic syndrome
  • aortic dissection
  • intramural hematoma
  • penetrating aortic ulcer
  • transesophageal echocardiography
  • transthoracic echocardiography

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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title = "Role of Echocardiography in Acute Aortic Syndrome",
abstract = "Acute aortic syndrome (AAS) is a summary term for three life-threatening acute aortic pathologies: aortic dissection, intramural hematoma, and penetrating aortic ulcer. Transthoracic echocardiography (TTE) is a screening tool for assessing chest pain in an emergency setting, diagnosing AAS with suboptimal sensitivity. However, TTE is very important in assessing potentially high-risk AAS features, e.g., pericardial effusion, left ventricular regional wall motion abnormalities, dilated aortic root, and aortic regurgitation; and diagnosing other conditions with similar clinical AAS features, e.g., acute coronary syndrome and acute pulmonary embolism. Computed tomography (CT) is the gold standard for diagnosing AAS. Multidetector CT has higher sensitivity and specificity compared to conventional CT. Transesophageal echocardiography (TEE) is for intraoperative guidance and perioperative monitoring of AAS, and if a local TEE expert is available, diagnosing AAS.",
keywords = "acute aortic syndrome, aortic dissection, intramural hematoma, penetrating aortic ulcer, transesophageal echocardiography, transthoracic echocardiography",
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AU - Shih, Chun Ming

AU - Chang, Nen Chung

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N2 - Acute aortic syndrome (AAS) is a summary term for three life-threatening acute aortic pathologies: aortic dissection, intramural hematoma, and penetrating aortic ulcer. Transthoracic echocardiography (TTE) is a screening tool for assessing chest pain in an emergency setting, diagnosing AAS with suboptimal sensitivity. However, TTE is very important in assessing potentially high-risk AAS features, e.g., pericardial effusion, left ventricular regional wall motion abnormalities, dilated aortic root, and aortic regurgitation; and diagnosing other conditions with similar clinical AAS features, e.g., acute coronary syndrome and acute pulmonary embolism. Computed tomography (CT) is the gold standard for diagnosing AAS. Multidetector CT has higher sensitivity and specificity compared to conventional CT. Transesophageal echocardiography (TEE) is for intraoperative guidance and perioperative monitoring of AAS, and if a local TEE expert is available, diagnosing AAS.

AB - Acute aortic syndrome (AAS) is a summary term for three life-threatening acute aortic pathologies: aortic dissection, intramural hematoma, and penetrating aortic ulcer. Transthoracic echocardiography (TTE) is a screening tool for assessing chest pain in an emergency setting, diagnosing AAS with suboptimal sensitivity. However, TTE is very important in assessing potentially high-risk AAS features, e.g., pericardial effusion, left ventricular regional wall motion abnormalities, dilated aortic root, and aortic regurgitation; and diagnosing other conditions with similar clinical AAS features, e.g., acute coronary syndrome and acute pulmonary embolism. Computed tomography (CT) is the gold standard for diagnosing AAS. Multidetector CT has higher sensitivity and specificity compared to conventional CT. Transesophageal echocardiography (TEE) is for intraoperative guidance and perioperative monitoring of AAS, and if a local TEE expert is available, diagnosing AAS.

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