A Hanging Mass in the Ascending Aorta Diagnosed by Transthoracic Echocardiography in a Totally Asymptomatic Subject

2009 ◽  
Vol 22 (10) ◽  
pp. 1197.e5-1197.e7 ◽  
Author(s):  
Umberto Baldini ◽  
Francesca Chiaramonti ◽  
Gaetano Minzioni ◽  
Michele Galli
Keyword(s):  
Transthoracic Echocardiography ◽  
Ascending Aorta ◽  
Asymptomatic Subject

Abstract 501: Prevalence of Ascending Aorta Atherosclerosis as Detected by Echocardiography and Computed Tomography in Patients Referred for Atrial Fibrillation Ablation

2017 ◽  
Vol 37 (suppl_1) ◽  
Author(s):  
Efstratios Koutroumpakis ◽  
Benjamin Schwartz ◽  
John Espey ◽  
Elizabeth Rau ◽  
David Steckman ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Transthoracic Echocardiography ◽  
Left Atrial ◽  
Ascending Aorta ◽  
Plaque Burden ◽  
Aortic Atherosclerosis ◽  
Predictive Values ◽  
Af Ablation ◽  
Aortic Plaque ◽  
Af Recurrence

Introduction: The prevalence and significance of thoracic aorta atherosclerosis in AF patients has not been clearly defined in the literature. There are scant reports supporting an association of atherosclerotic aortic plaque burden with embolic phenomena and recurrence of AF post ablation. Two modalities of aortic atherosclerosis detection include computed tomography (CT) and echocardiography. Hypothesis: The prevalence of ascending aorta atherosclerosis in AF patients is high and CT performs better than transthoracic echocardiography in its detection. Methods: We investigated prevalence of ascending aorta atherosclerosis by CT and transthoracic echocardiography in 76 consecutive patients referred for AF ablation (67.1% males, 62.9 +/- 9.8 years old, 6.6% active smokers, 75% paroxysmal AF, 13.1% with LV ejection fraction (EF) <50%, 61.8% with hyperlipidemia, 55.8% with hypertension, 10.5% with diabetes, 2.6% with chronic kidney disease, and 1 patient with peripheral artery disease). The pre-ablation echocardiograms and cardiac CT scans, originally performed for left atrial mapping and evaluation of left atrial appendage thrombus, were reviewed in a blinded fashion for the presence of aortic atherosclerosis. Results: Out of 76 AF ablation patients, 27 (35.5%) had evidence of ascending aorta atherosclerosis by CT and 43 (56.6%) by echocardiography. Using CT as the gold standard, echocardiography had a sensitivity of 70.4% and a specificity of 51% in identification of ascending aorta atherosclerosis. Positive and negative predictive values were 44.2% and 75.8%, respectively. A total of 16 patients (21.1%) had AF recurrence post ablation, out of which 6 (37.5%) had evidence of aortic atherosclerosis on CT (vs 21/49 [42.9%] in the non-recurrence group). Conclusions: Ascending aorta atherosclerosis is common in patients referred for AF ablation. Transthoracic echocardiography likely overestimates its prevalence. Aortic atherosclerosis as detected by CT was not significantly associated with AF recurrence post ablation. More studies investigating clinical implications and best treatment approach to subclinical aortic therosclerosis in patients with AF are needed.

scholarly journals Type A aortic dissection: Why there is still a role for echocardiography when every second counts

2020 ◽  
Vol 8 ◽  
pp. 2050313X2097308
Author(s):  
Peter Luke ◽  
Karen Booth ◽  
Ali Kindawi ◽  
Christopher Eggett
Keyword(s):  
Computed Tomography ◽  
Aortic Dissection ◽  
Sensitivity And Specificity ◽  
Transthoracic Echocardiography ◽  
Type A ◽  
Ascending Aorta ◽  
Acute Type ◽  
Iliac Arteries ◽  
Type A Aortic Dissection ◽  
Optimal Imaging

Aortic dissection is often regarded as a catastrophic aortic syndrome with high rates of mortality. The sensitivity and specificity of transthoracic echocardiography when diagnosing acute type A aortic dissection has been reported as high as 97% and 100%, respectively, in patients with optimal imaging quality when compared to computed tomography. In this article, we discuss the benefit of transthoracic echocardiography in a patient with type A aortic dissection extending from ascending aorta to iliac arteries.

scholarly journals Evaluation of the Relationship between Para-aortic Adipose Tissue and Ascending Aortic Diameter using a New Method

2022 ◽  
Author(s):  
Adem Adar ◽  
Orhan Onalan ◽  
Fahri Cakan ◽  
Ertan Akbay ◽  
Sinan Akıncı ◽  
...  
Keyword(s):  
Adipose Tissue ◽  
Aortic Aneurysm ◽  
Transthoracic Echocardiography ◽  
Multivariate Logistic Regression Analysis ◽  
Ascending Aorta ◽  
Aortic Dilatation ◽  
Aortic Dilation ◽  
Patients At Risk ◽  
Relationship Of ◽  
Ascending Aortic Diameter

Abstract Purpose: Para-aortic adipose tissue (PAT) is the local adipose tissue that externally surrounds the aorta. It contributes significantly to aortic atherosclerosis and enlargement. Studies conducted with computed tomography and magnetic resonance have shown that individuals with aortic aneurysm had more PAT than healthy individuals. In this study, we measured PAT for the first time using transthoracic echocardiography (TTE).The aim of this study is to investigate the possible relationship of TTE measured PAT with ascending aortic width.Methods: PAT was defined as the hypoechoic space in front of ascending aortic 2 cm above the sinotubular junction at the end of the systole. Patients were divided into 2 groups according to the presence of dilatation in the ascending aorta using Roman's classification (aortic size index, ASI). ASI of less than 21 was considered no aortic dilation and an ASI of 21mm/m2 or greater was considered to have aortic dilation.Results: A total of 321 unselected patients were divided into the ascending aortic dilatation (AAD) group (n=96) and the normal ascending aorta diameter group (n=225 patients). PAT was significantly higher in the AAD group compared with the non-ADD group (0.9 (0.48) vs. 0.7 (0.91) mm, p < 0.0001). Univariate and multivariate logistic regression analysis revealed that PAT (OR: 3.005, 95%CI (1.445–6.251)) were significantly associated with AAD.Conclusion: Our results showed an association between PAT measured by transthoracic echocardiography and ascending aorta width. PAT appears to be an important follow-up parameter in patients at risk of developing aortic aneurysm.

scholarly journals P1739 Diameter of the pulmonary artery in relation to the ascending aorta: a promising parameter for the diagnosis of pulmonary hypertension

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
M Schneider ◽  
H Ran ◽  
A M Pistritto ◽  
C Gerges ◽  
H Heidari ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Pulmonary Artery ◽  
Transthoracic Echocardiography ◽  
Imaging Modality ◽  
Area Under The Curve ◽  
Diagnostic Algorithm ◽  
Right Heart Catheterization ◽  
Ascending Aorta ◽  
Heart Catheterization ◽  
Technological Advances

Abstract Background Pulmonary hypertension (PH) is a disease with significant morbidity and mortality. The first imaging modality in the diagnostic algorithm is transthoracic echocardiography (TTE). Despite significant technological advances in recent years, there are still patients with PH who are missed by TTE. The pulmonary artery to ascending aorta ratio (PA/Ao-R) has been evaluated in cardiac magnetic resonance (CMR) and computed tomography (CT) studies. The ratio was able to detect patients with PH, it correlated with hemodynamics, and it was predictive for mortality. We sought to evaluate the diagnostic accuracy of PA/Ao-R measured by TTE in the detection of PH. Methods We evaluated consecutive patients who received quasi-simultaneous transthoracic echocardiography and right heart catheterization (RHC) for evaluation of pulmonary hypertension between July 2015 and July 2016. Results A total of 84 patients fulfilled the inclusion criteria, 47 were female, mean age was 65 years. Median PA/Ao-R was 0.8 (Q1;Q3 0.69;0.94). Seventy patients had PH (median mean pulmonary artery pressure (mPAP) was 35.5 mmHg, Q1;Q3 27;47). The area under the curve for the diagnosis of PH via PA/Ao-R was 0.853. A cut-off of 1 was chosen for further analysis. Sensitivity for the diagnosis of PH was 100%, specificity was 23%. PA/Ao-R correlated with mPAP (r = 0.65, p &lt; 0.001), and pulmonary vascular resistance (r = 0.68, p &lt; 0.001). In the subgroup of patients with PH, those patients with a PA/Ao-R of ≥1 had significantly (p &lt; 0.001) higher pulmonary pressures than those below, with a mean mPAP of 53 mmHg as compared to 38.5 mmHg. Conclusion PA/Ao-R correlates with mPAP. A ratio of ≥1 should prompt suspicion for the presence of PH. PA/Ao-R should be reported in every patient who is evaluated for PH.

Reference Values for Mid-Ascending Aorta Diameters by Transthoracic Echocardiography in Adults

2018 ◽  
Vol 122 (6) ◽  
pp. 1068-1073 ◽  
Author(s):  
Chadi Ayoub ◽  
Gautam Kumar ◽  
Carin Y. Smith ◽  
Sandra C. Bryant ◽  
Diane M. Jech ◽  
...  
Keyword(s):  
Reference Values ◽  
Transthoracic Echocardiography ◽  
Ascending Aorta

scholarly journals Accuracy of Transthoracic Echocardiography for the Measurement of the Ascending Aorta: Comparison With Transesophageal Echocardiography

2010 ◽  
Vol 33 (8) ◽  
pp. 502-507 ◽  
Author(s):  
Deepa Kabirdas ◽  
Cristiana Scridon ◽  
Juan-Carlos Brenes ◽  
Adrian V. Hernandez ◽  
Gian M. Novaro ◽  
...  
Keyword(s):  
Transesophageal Echocardiography ◽  
Transthoracic Echocardiography ◽  
Ascending Aorta
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