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Aortic dissection: review of value and limitations of two-dimensional echocardiography in a six-year experience
Authors:B K Khandheria  A J Tajik  C L Taylor  R E Safford  F A Miller  A W Stanson  L J Sinak  J K Oh  J B Seward
Institution:Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Abstract:The utility of transthoracic two-dimensional echocardiography in patients with aortic dissection was assessed by retrospective analysis in 67 patients: 31 patients with DeBakey type I, 21 patients with type II, 10 patients with type III, and five patients with false-positive diagnoses. Aortic dissection was correctly identified by two-dimensional echocardiography in 49 patients; 13 had false-negative diagnoses. Therefore the sensitivity was 79%, and the positive predictive accuracy was 91%. Transthoracic two-dimensional echocardiography is a reasonable screening technique for diagnosis of aortic dissection.
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