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Fig. 12. Transesophageal echocardiography examination of the aorta in suspected aortic dissection involves careful multiplane examination of the entire thoracic aorta (Fig. 8). Images in this patient (omniplane 78°) revealed undulating intimal flaps that moved independently of the aortic walls. The perfusing lumen can be differentiated from the nonperfusing lumen on Color flow Doppler and pulsed Doppler interrogation. Note the systolic expansion of the true or perfusing lumen (TL) during systole.

Fig. 12. Transesophageal echocardiography examination of the aorta in suspected aortic dissection involves careful multiplane examination of the entire thoracic aorta (Fig. 8). Images in this patient (omniplane 78°) revealed undulating intimal flaps that moved independently of the aortic walls. The perfusing lumen can be differentiated from the nonperfusing lumen on Color flow Doppler and pulsed Doppler interrogation. Note the systolic expansion of the true or perfusing lumen (TL) during systole.

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