Transesophageal echocardiographic detection of thoracic aorta dissection extending into the celiac artery

Lee J Frazin1

  • 1Northwestern University Medical School, St Mary of Nazareth/Ressurection Health Care. Chicago, IL 60622, USA.

Insights

Transesophageal echocardiography can visualize the upper abdominal aorta and celiac artery. This case report details a thoracic aorta dissection extending into the abdomen, affecting the celiac artery.

Area of Science:

  • Cardiovascular Imaging
  • Vascular Surgery

Background:

  • Transesophageal echocardiography (TEE) is a valuable tool for cardiac assessment.
  • Its utility in visualizing the abdominal aorta, particularly the superior portion and celiac artery, is less established.

Observation:

  • A case of aortic dissection originating in the thoracic aorta and extending distally into the abdominal aorta is presented.
  • The dissection involved the origin of the celiac artery, a critical visceral artery.

Findings:

  • Specialized probe positioning during TEE enabled clear visualization of the abdominal aorta and the celiac artery branch.
  • This allowed for detailed assessment of the extent of the aortic dissection at the visceral artery origin.

Implications:

  • TEE can be a useful non-invasive imaging modality for evaluating aortic pathology extending into the abdominal region.
  • Accurate visualization of celiac artery involvement in aortic dissection is crucial for surgical planning and patient management.

Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Thoracic Aorta01:15

Thoracic Aorta

The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
Abdominal Aorta01:25

Abdominal Aorta

Once the aorta traverses the diaphragmatic plane at the aortic hiatus, it is known as the abdominal aorta. This anatomical structure is positioned leftward of the spinal column, encased within a cocoon of adipose tissue behind the peritoneal cavity. It terminates at the L4 vertebra, where it splits into the common iliac arteries. Prior to this bifurcation, the abdominal aorta gives rise to several vital branches.
The celiac trunk, a singular artery, divides into the left gastric artery, which...
Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):