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Radiology, Vol 127, 491-499, Copyright © 1978 by Radiological Society of North America


ARTICLES

A two-dimensional echoaortocardiographic approach to dissecting aneurysms of the aorta to prevent false-positive diagnoses

M Matsumoto, H Matsuo, T Ohara, Y Yoshioka and H Abe

Two patients with dissecting aneurysms of the aorta of Debakey type I and II, 10 healthy subjects, and 2 patients with signs mimicking aortic- root dissection were studied by two-dimensional echoaortocardiography, standard echocardiography, and M-mode scanning. In both electrocardiographically gated and nonelectrocardiographically gated two-dimensional echoaortocardiograms of each patient, aortic-root dissections were clearly visualized. Because of the possibility of a false-positive diagnosis of an aortic-root dissection by previously reported criteria (including cases in the authors' experience and in the literature), the authors are convinced that the combination of two- dimensional and standard echoaortocardiography provides the most reliable echo diagnosis of this disease.





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