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KMID : 0368119990290020222
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Korean Circulation Journal
1999 Volume.29 No. 2 p.222 ~ p.227
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Two Cases of Traumatic Aortic Dissection Diagnosed Early by Transesophageal Echocardiography in the Emergency Department
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1정시경/1Si Kyoung Jung
1박규남/1박승현/2유기동/2정욱성/2윤호중/2홍순조/1Kyu Nam Park/1Seung Hyun Park/2Ki Dong Yook/2Wook Sung Chung/2Ho Joong Yong/2Soon Jo Hong
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Abstract
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Traumatic dissection of the aorta is a fatal injury that requires rapid diagnosis and
treatment. In assessing acute thoracic aortic injury, transesophageal echocradiography
(TEE) has recently compared favorably with standard diagnostic modalities such as
computed tomography, magnetic resonance imaging and aortography. These latter include
time-consuming, contrast injection and the transportation of the patient to another area,
requiring the interruption of resuscitative efforts. But, TEE includes less invasive nature,
shorter procedure time, no contrast injection, portability at bedside, ability to be done
concurrently other procedures such as resuscitation or hemodynamic monitoring and has
high sensitivity and specificity for the evaluation of trauma patients with suspected
injuries of the thoracic aorta. TEE may be suggested as primary diagnostic modality in
suspected traumatic aortic injury in emergency department, We report two cases of
traumatic aortic dissection diagnosed early by transesophageal echocardiography in the
emergency department.
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KEYWORD
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