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Correspondence 129 will generate artifact in different location, whereas a true [11] Wheat MW. Acute dissection of the aorta. Cardiovasc Clin 1987; dissection will be consistent. Reconstruction by a multi- 17:241- 62. [12] Willoteaux S, Lions C, Gaxotte V, et al. Imaging of aortic dissection by detector row CT (helical CT) in a sagittal view will also give helical computed tomography (CT). Eur Radiol 2004;14:1999- 2008. a more accurate assessment of aortic artifact [12,13]. [13] Kapustin AJ, Litt HI. Diagnostic imaging for aortic dissection. Semin Cardiac gating has been shown to reduce the artifact at Thorac Cardiovasc Surg 2005;17:214- 23. the aortic root [14]. However, in emergency condition, its [14] Morgan-Hughes GJ, Owens PE, Marshall AJ, et al. Thoracic aorta at multi-detector row CT: motion artifact with various reconstruction application has not yet been validated [12]. Transesophageal windows. Radiology 2003;228:583- 8. echocardiogram (TEE) could also assist in proper diagnosis. [15] Keren A, Kim CB, Hu BS, et al. Accuracy of biplane and multiplane The sensitivity and specificity of TEE have been reported to transesophageal echocardiography in diagnosis of typical acute aortic be as high as 98% and 63% to 96%, respectively [15]. The dissection and intramural hematoma. J Am Coll