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Cath Conference

Cath Conference. Cardiology Echo Conference Aortic Diseases. Aortic Diseases. Introduction ASE – Chamber Quanification Guidelines ACC/AHA/ATS – Diagnosis and Management Guidelines. Aortic Diseases. blank. Aortic Diseases. blank. Aortic Diseases. Ao diameter PSLAX 2D v M-mode

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Cath Conference

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  1. Cath Conference Cardiology Echo Conference Aortic Diseases

  2. Aortic Diseases • Introduction • ASE – Chamber Quanification Guidelines • ACC/AHA/ATS – Diagnosis and Management Guidelines

  3. Aortic Diseases • blank

  4. Aortic Diseases • blank

  5. Aortic Diseases • Ao diameter • PSLAX • 2D v M-mode • @ Sinus of Vals • Perpendicular • RPSV in RLD • SSN

  6. Aortic Diseases • Some experts favor inner edge to inner edge techniques to match those used by other methods of imaging the aorta, such as MRI and computed tomography scanning. However, the normative data for echocardiography were obtained using the leading edge technique

  7. Aortic Diseases • TEE • Ascending • 130 ME-LA • 45 ME-SA • Descending • 0-SA • 90-LA • Blind spot • Upper AsAo • trachea

  8. Aortic Diseases • Definitions • Aneurysm • >50% increase in diameter vs normal • Ectasia • dilation less than 150% • Aortic Dissection • disruption of media layer with bleeding

  9. Aortic Diseases • Ao Image Recs class I • Same landmaks • CT/MRI external diameter • Echo internal diameter • Abnl immediate referral • Minimize radiation

  10. Aortic Diseases • Echo • Ascending Ao • Nomogram • Thoracic Ao • absolute

  11. Aortic Diseases • Aortic Dissection

  12. Aortic Diseases • Aortic Dissection

  13. Aortic Diseases • blank

  14. Aortic Diseases • DeBakey • I – originates in ascending Ao to arch • II – confined to ascending Ao • IIIa – descending Ao • IIIb – descending Ao w/ extension below diaphragm • Stanford • A – Ascending Ao • B – No Ascending Ao involvement

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  19. Aortic Diseases • Penetrating Atherosclerotic Ulcer • Penetrates the internal elastic lamina • Allows hematoma formation within the media Ao wall • Mushroom-like outpouching • Elderly >65 y/o, HTN, chest or back pain

  20. Aortic Diseases

  21. Aortic Diseases

  22. Aortic Diseases

  23. Aortic Diseases • Marfan and Pregnancy • Strict BP control • Monthly or bimonthly echo • Avoid CTs • Delivery with CT surg available

  24. Aortic Diseases • blank

  25. Questions

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