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Aortic dissection with flap prolapse into the left ventricle
B P Rosenzweig1, S Goldstein, M Sherrid
1Department of Medicine, New York University Medical Center, New York, USA.
The American Journal of Cardiology
|January 15, 1996
Summary
Transesophageal echocardiography accurately diagnosed intimal flap prolapse in 6 patients. This aortic dissection complication is a newly recognized cause of severe aortic regurgitation.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Aortic dissection (AD) is a serious cardiovascular condition.
- Severe aortic regurgitation (AR) can result from AD complications.
- Intimal flap prolapse is a less understood cause of AR in AD.
Purpose of the Study:
- To evaluate the diagnostic accuracy of transesophageal echocardiography (TEE) for intimal flap prolapse in patients with aortic dissection.
- To highlight intimal flap prolapse as a cause of severe aortic regurgitation.
Main Methods:
- Transesophageal echocardiography (TEE) was performed on 6 patients.
- Diagnostic accuracy of TEE for intimal flap prolapse was assessed.
Main Results:
- TEE accurately diagnosed intimal flap prolapse in all 6 patients.
- Intimal flap prolapse was identified as the cause of severe AR in these patients.
Conclusions:
- Transesophageal echocardiography is a reliable method for diagnosing intimal flap prolapse.
- Intimal flap prolapse is a newly recognized and important cause of severe aortic regurgitation secondary to aortic dissection.