Obstacles in the Diagnosis of Acute Aortic Dissection


  • Yanai Ben Gal
  • Dimitry Pevni
  • Yosef Paz
  • Chaim Locker
  • Oren Lev-Ran
  • Nachum Nesher
  • Ariel Finkelstein
  • Gideon Uretzky




Acute aortic dissection (AAD) is a life-threatening condition for which prompt diagnosis is essential for successful management. The imaging modalities for demonstrating the dissecting membrane include retrograde aortography, contrast-enhanced computed tomography (CT), transesophageal echocardiography (TEE), and magnetic resonance imaging. Of these, aortography had long been considered the gold standard in diagnosing aortic dissection. We present a case of AAD in which contrast-enhanced CT and retrograde aortography failed to demonstrate an aortic membranous flap, whereas TEE swiftly provided clear-cut evidence of the pathology. TEE should be considered when AAD is suspected despite negative findings on other imaging modalities.


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How to Cite

Gal, Y. B., Pevni, D., Paz, Y., Locker, C., Lev-Ran, O., Nesher, N., Finkelstein, A., & Uretzky, G. (2005). Obstacles in the Diagnosis of Acute Aortic Dissection. The Heart Surgery Forum, 7(2), E183-E185. https://doi.org/10.1532/HSF98.20033010