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European Journal of Echocardiography Advance Access originally published online on February 15, 2009
European Journal of Echocardiography 2009 10(3):473-475; doi:10.1093/ejechocard/jep012
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org.

Rupture of a thoracic aorta pseudoaneurysm: rare presentation and role of real-time 3D transoesophageal echocardiography

Pablo Salinas*, Teresa Lopez, Ana Gonzalez, Laura Pena-Conde, Raul Moreno, Mar Moreno and Jose Luis Lopez-Sendon

Department of Cardiology, La Paz University Hospital, Paseo de la Castellana 261, Madrid 28046, Spain

Received 27 November 2008; accepted after revision 17 January 2009; online publish-ahead-of-print 15 February 2009.

* Corresponding author. Tel: +34 658949423. E-mail address: salinas.pablo{at}gmail.com


  Abstract

A 59-year-old man presented with cardiogenic shock caused by acute right ventricular failure due to extrinsic compression of the right coronary artery by a thoracic aorta pseudoaneurysm. Angiography and real-time 3D transoesophageal echocardiography (TEE) were performed and enough diagnostic accuracy was achieved to operate on the patient without further image techniques and consequent delay. Three-dimensional TEE is a new technology that combines high-quality anatomic and colour Doppler information with bedside performance, essential in emergent clinical scenarios.

Keywords: Transesophagueal echocardiography; 3D echocardiography; Aortic pseudoaneurysm; Right ventricle myocardial infarction


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