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Transesophageal Echocardiography in the Diagnosis of Diseases of the Thoracic Aorta*: Part 1. Aortic Dissection, Aortic Intramural Hematoma, and Penetrating Atherosclerotic Ulcer of the Aorta

Howard J. Willens, MD; Kenneth M. Kessler, MD
Author and Funding Information

*From the Department of Medicine, Memorial Regional Hospital (Dr. Willens), Hollywood, FL, and the University of Miami School of Medicine (Dr. Kessler), Miami, FL.

Correspondence to: Howard J. Willens, MD, 4925 Sheridan St, Suite 200, Hollywood, FL 33021



Chest. 1999;116(6):1772-1779. doi:10.1378/chest.116.6.1772
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Extract

Transesophageal echocardiography (TEE) has become a valuable modality for the diagnosis and management of diseases of the thoracic aorta. This procedure has also contributed greatly to our understanding of the pathogenesis of these disorders. When compared to other technologies that are used to evaluate the thoracic aorta, TEE has the unique advantages of portability and the ability to obtain high-resolution images of the normal and pathologic anatomy of the three layers of the aortic wall and the aortic lumen. In part one of this two-part article, the case-based review will focus on the use of TEE in the acute aortic syndrome (aortic dissection, aortic intramural hematoma [AIH], and penetrating atherosclerotic ulcer [PAU]) of the aorta. In part two, atherosclerotic disease of the aorta as a source of systemic emboli, and traumatic diseases of the aorta will be discussed. The two parts serve to update previous reviews in this continuously evolving field.15

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