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Second Congress of Cardiology and Angiology of Bosnia & Herzegovina

 

THE ROLE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) IN DIAGNOSIS OF AORTIC DISSECTION.
N. Naser, M. Bukša, Dj. Al-Tawil, M. Talirević, A. Haračić and E. Raljević.
Clinic for Heart Diseases and Rheumatism1, Clinical Center University of Sarajevo, General Hospital, Sarajevo2, Bosnia and Herzegovina

Background: TEE has become one of the most reliable tools in diagnosis of aortic dissection and in some cases it showed more reliable findings than computed tomography (CT),magnetic resonance imaging (MRI) and aortography. The aim was to show the advantage of multiplane TEE vs. other diagnostic methods in our 12 patients. Material and methods: In 12 patients with suspected aortic dissection multiplane TEE was performed. In 6 (50%) patients the diagnosis of aortic dissection was confirmed (4-acute aortic dissection and 2-chronic aortic dissection). In the remaining 6 patients without dissection, 4 (33%) had aortic aneurysm and 2 (17%) had neither dissection nor aneurysm.CT found dissection in 4 patients with aortic dissection,aortography was performed in 3 patients. 4 patients with aortic dissection were operated and the diagnosis was confirmed in all. Conclusion: In our cases multiplane TEE has proved to be more sensitive and reliable diagnostic tool in comparison with other imaging techniques and should be considered first in the evaluation of suspected aortic dissection.

Drugi kongres kardiologa i angiologa Bosne i Hercegovine
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