Author/Editor		Koželj, M
Title		Diagnostična strategija pri sumu na disekcijo aorte
Translated title		Diagnostic strategies in suspected aortic dissection
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja. Zbornik 2. mednarodni simpozij o urgentni medicini; 1995 jun 21-24; Ljubljana. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1995
Volume		str. 111-5
Language		slo
Abstract		Because mortality due to aortic dissection within the first hours is very high, the goal of diagnostic strategy must be rapid diagnosis. No investigative technique is absolute for the diagnosis of aortic dissection. In patients with aortic dissection the diagnosis is first based on echocardiography (TTE and TEE). A negative TEE study does not absolutly exclude a diagnosis of dissection. If there is still strong clinical suspicion of dissection, which is not confirmed by TEE, then other investigations are recommended: computer tomography, magnetic resonance or angiography. Only in stabile patients over 45 years of age with strong suspicion of coronary artery disease coronary angiography is performed. In patients with dissection type I and II surgery is performed without additional diagnostic procedures, particularly in emergency cases. If complications are occurring with dissection type III, surgery is performed immediately, too. The most usual complications, like aortic regurgitation, pericardial and pleural effusion and even involvement of the origins of coronary arteries can be adequately assessed by echocardiography.
Descriptors		AORTIC DISEASES AORTOGRAPHY TOMOGRAPHY, X-RAY COMPUTED MAGNETIC RESONANCE IMAGING