A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography-Reference-Cited by-同舟云学术

A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography

Published:2019-11-11 Issue: Volume:2019 Page:1-4
ISSN:2090-6862
Container-title:Case Reports in Radiology
language:en
Short-container-title:Case Reports in Radiology

Author:

Solhjoo Mahdis¹^ORCID,Swarup Supreeya²,Makaryus Amgad N.²³^ORCID

Affiliation:

1. Departments of Medicine, Nassau University Medical Center, East Meadow, NY, USA

2. Department of Cardiology, Nassau University Medical Center, East Meadow, NY, USA

3. Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, NY, USA

Abstract

We present a case of an extensive aortic dissection (AD) identified in a woman with atypical symptoms. Transthoracic echocardiography (TTE) allowed the identification of an intimal flap in multiple locations and resulted in rapid diagnosis and treatment. In most cases, CT angiography is the imaging modality of choice for diagnosis of AD. TTE is rapid and accurate and can be used in kidney failure. Our case highlights the important role of bedside echocardiography in the diagnosis of AD, especially in the patient with a typical symptoms in whom this diagnosis of AD may not be entertained and actually missed leading to negative and possibly deadly consequences.

Publisher

Hindawi Limited

Subject

General Medicine

Link

http://downloads.hindawi.com/journals/crira/2019/6545472.pdf

Reference16 articles.

1. Medical management of acute type a aortic dissection in association with early open repair of acute limb ischemia may prevent aortic surgery

2. Factors leading to failure to diagnose acute aortic dissection in the emergency room

3. Diagnosis of Aortic Dissection in Emergency Department Patients is Rare

4. Clinical Predictors for Delayed or Inappropriate Initial Diagnosis of Type A Acute Aortic Dissection in the Emergency Room

5. Comparison of Factors Associated with Atypical Symptoms in Younger and Older Patients with Acute Coronary Syndromes

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