Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1995-1-17
pubmed:abstractText
This prospective study sought to further define the role of transesophageal echocardiography (TEE) in diagnosing thoracic aortic injury. We performed TEE, aortography, or both on 160 consecutive patients suspected of having blunt thoracic aortic injury: TEE correctly identified 14 aortic injuries, of which five were confirmed by aortography, seven at thoracotomy, and two at autopsy. The TEE results were suggestive of but not diagnostic for injury in two additional patients with proven aortic injury, and TEE was otherwise 100% sensitive and specific for aortic injury. Aortograms yielded one false positive result and four false negative results, for a sensitivity of 73% and a specificity of 99%. We conclude that TEE is a rapid, safe, and accurate bedside method for evaluating the heart and thoracic aorta for blunt trauma. Negative or positive TEE results obviate the need for aortography. We recommend that aortography be used when TEE results are equivocal, when TEE is not tolerated or contraindicated, or when other suspected vascular injuries require evaluation by arteriography.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
0022-5282
pubmed:author
pubmed:issnType
Print
pubmed:volume
37
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
989-95
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Further experience with transesophageal echocardiography in the evaluation of thoracic aortic injury.
pubmed:affiliation
Division of General Surgery, University of Kentucky Chandler Medical Center, Lexington 40536-0084.
pubmed:publicationType
Journal Article, Comparative Study