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Aortic dissections masquerading as aortic valvular disease

Aortic dissections masquerading as aortic valvular disease Aortic Dissections Masquerading as Aortic Valvular Disease Song Wei Xie, MD,* Michael H. Picard, MD,S and Neil J. Weissman, MDS A dissection of the ascending aorta with a circumferential intimal tear causing aortic stenosis and aortic regurgitation is rare. Only two cases diagnosed by transesophageal echocardiography have been In both of these cases, findings were limited to the thoracic aorta. This is the first report of two cases of aortic dissection with a complete circumferential tear in the ascending aorta extending to the descending thoracic and abdominal aorta and causing intussusception into the aortic arch which were diagnosed by transthoracic echocardiography. CASE REPORTS Case 1 A 69-year-old man with a 10-year history of systemic hypertension was admitted to the hospital because of progressive heart failure. Five weeks prior to admission, the patient fell from a ladder and complained of severe chest pain followed by dyspnea on exertion and palpitations. Examination at that time revealed a new systolic and a distinct diastolic murmur at the left upper sternal border; the diagnosis of aortic valvular disease was made. No further evaluation was performed despite the persistence of his symptoms. During the ensuing 4 weeks, the patient’s congestive heart failure symptoms http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Clinical Ultrasound Wiley

Aortic dissections masquerading as aortic valvular disease

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References (14)

Publisher
Wiley
Copyright
Copyright © 1995 Wiley Periodicals, Inc., A Wiley Company
ISSN
0091-2751
eISSN
1097-0096
DOI
10.1002/jcu.1870230610
Publisher site
See Article on Publisher Site

Abstract

Aortic Dissections Masquerading as Aortic Valvular Disease Song Wei Xie, MD,* Michael H. Picard, MD,S and Neil J. Weissman, MDS A dissection of the ascending aorta with a circumferential intimal tear causing aortic stenosis and aortic regurgitation is rare. Only two cases diagnosed by transesophageal echocardiography have been In both of these cases, findings were limited to the thoracic aorta. This is the first report of two cases of aortic dissection with a complete circumferential tear in the ascending aorta extending to the descending thoracic and abdominal aorta and causing intussusception into the aortic arch which were diagnosed by transthoracic echocardiography. CASE REPORTS Case 1 A 69-year-old man with a 10-year history of systemic hypertension was admitted to the hospital because of progressive heart failure. Five weeks prior to admission, the patient fell from a ladder and complained of severe chest pain followed by dyspnea on exertion and palpitations. Examination at that time revealed a new systolic and a distinct diastolic murmur at the left upper sternal border; the diagnosis of aortic valvular disease was made. No further evaluation was performed despite the persistence of his symptoms. During the ensuing 4 weeks, the patient’s congestive heart failure symptoms

Journal

Journal of Clinical UltrasoundWiley

Published: Jul 1, 1995

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