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Related Concept Videos

Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

978
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...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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...
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Related Experiment Video

Updated: Apr 12, 2026

Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
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Using The Descending Aortic Wall Thickness Measured In Transesophageal Echocardiography As A Risk Marker For Aortic

Zaher Fanari1, Sumaya Hammami1, Muhammad Baraa Hammami1

  • 1Section of Cardiology, Christiana Care Health System, Newark, DE.

The European Journal of Cardiovascular Medicine
|May 19, 2015
PubMed
Summary

Aortic dissection (AD) patients show increased aortic wall thickness compared to controls. This finding, measured by transesophageal echocardiography, may enhance risk prediction beyond aortic diameter alone.

Keywords:
Aortic diameterAortic dissectionIntimal/medial thickness.Transesophageal echocardiography

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Area of Science:

  • Cardiovascular Imaging
  • Thoracic Surgery
  • Vascular Medicine

Background:

  • Aortic dissection (AD) arises from conditions that thicken the aortic wall.
  • Transesophageal echocardiography (TEE) enables visualization of the thoracic aorta's wall and lumen.
  • Aortic diameter is a traditional but imperfect predictor of AD risk and surgical timing.

Purpose of the Study:

  • To determine if aortic wall thickness is elevated in AD patients versus a low-risk control group.
  • To evaluate aortic wall thickness as a potential additional risk marker for AD, alongside aortic diameter.

Main Methods:

  • Retrospective analysis of 48 AD patients and 48 control patients (patent foramen ovale).
  • Measurements included aortic diameter, intimal/medial thickness (IMT), and complete wall thickness (CMT) via TEE.
  • Demographic and cardiovascular risk factors were reviewed; data analyzed using ANOVA and t-tests.

Main Results:

  • AD patients were older and had higher rates of hypertension, diabetes, hyperlipidemia, and coronary artery disease.
  • Increased IMT and CMT were observed in the descending aorta of AD patients (P=0.03 and P=0.01, respectively).
  • Ascending aorta diameter was significantly greater in the AD group (P=0.004).

Conclusions:

  • Transesophageal echocardiography-detected intimal/medial thickness and complete wall thickness in the descending aorta are greater in AD patients.
  • Aortic wall thickness measurements may provide additional prognostic information beyond aortic diameter for AD risk stratification.