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Related Experiment Videos

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
PubMed
Summary

Transesophageal echocardiography accurately diagnosed intimal flap prolapse in 6 patients. This aortic dissection complication is a newly recognized cause of severe aortic regurgitation.

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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.

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  • 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.