Eco TT na dissecção tipo A

The role of transthoracic echocardiography in the diagnosis and management of acute type A aortic syndrome……………………………………………………………………………………………………………………. AQUI …………………………………………………………………………………………………………………………………………………………………………………………………………………………………….Conclusions: Transthoracic echocardiography is a useful imaging modality for the diagnosis of classic acute type A aortic dissection. It cannot be used as the sole screening technique for detecting AAAS, but in the light of the predictive values observed, patients with optimal image quality and clear-cut diagnosis of AAAS should proceed to the operative room, whereas in patients with negative or indeterminate studies, other imaging techniques are needed to refine the diagnosis.……………………………………………………………………………………………………………………………

In previous studies, TTE was reported to have a 57% to 82% sensitivity and a 65% to 96% specificity for the detection of classic type A acute aortic dissection (CAAAD) as compared with a 95% to 100% sensitivity and 94% to 100% specificity when using computed tomography (CT), transesophageal echocardiography (TEE), and magnetic resonance imaging (MRI). ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….. Artigo muito bom, relata que as novas tecnologias como segunda harmônica, contraste e transdutores de alta frequência ainda não foram estudados!!!!! Pode ser que a sensibilidade e especificidade sejam maiores!

3D TEE: Ajudando os deuses.

Analysis of Procedural Effects of Percutaneous Edge-to-Edge Mitral Valve Repair by 2D and 3D Echocardiography….

…………. . Conclusions—3D transesophageal echocardiography demonstrates significant reduction of regurgitant volume after PMVR. The unique visualization of the mitral valve by 3D TEE allows improved understanding of the morphological and functional changes induced by PMVR………………………………………………………………………………………………………………………………………………………………………………… . Estudo demonstra valor do eco 3D TEE para o reparo da valva mitral.Vantagem para o paciente, para o cirurgião e para o hospital. Porque quem têm que comprar aparelho 3D é o hospital, não o serviço de ecocardiografia. Até que é barato um 3D por 400 mil para um hospital que gasta 3 milhões em uma ressonância!