Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection
Point-of-care ultrasound (POCUS) is becoming a frequently utilized imaging tool in the emergency department (ED) as it can aid in early diagnosis of many pathologies. This is a case report of a 55-year-old male who presented to the emergency department by ambulance for sudden onset chest pain follow...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2022/7166230 |
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| author | Kristina Thomas Omar Amr |
| author_facet | Kristina Thomas Omar Amr |
| author_sort | Kristina Thomas |
| collection | DOAJ |
| description | Point-of-care ultrasound (POCUS) is becoming a frequently utilized imaging tool in the emergency department (ED) as it can aid in early diagnosis of many pathologies. This is a case report of a 55-year-old male who presented to the emergency department by ambulance for sudden onset chest pain followed by a syncopal episode. Point-of-care echocardiogram revealed a large pericardial effusion with a significantly dilated aortic root, concerning for aortic dissection. Patient was emergently taken for a computed tomography (CT) scan, which was only remarkable for an ascending thoracic aortic aneurysm but failed to show an aortic dissection flap. On repeat POCUS, a dissection intimal flap, large pericardial effusion with tamponade physiology, and aortic regurgitation were identified and later confirmed on transesophageal echocardiogram. This case report details a rare pathology that was correctly identified on initial POCUS before it was seen on CT scan. |
| format | Article |
| id | doaj-art-91d8f0da06274ef7ac8fa12b93b60639 |
| institution | Kabale University |
| issn | 2090-6439 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-91d8f0da06274ef7ac8fa12b93b606392025-02-03T05:57:29ZengWileyCase Reports in Critical Care2090-64392022-01-01202210.1155/2022/7166230Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root DissectionKristina Thomas0Omar Amr1St. Joseph’s Medical CenterSt. Joseph’s Medical CenterPoint-of-care ultrasound (POCUS) is becoming a frequently utilized imaging tool in the emergency department (ED) as it can aid in early diagnosis of many pathologies. This is a case report of a 55-year-old male who presented to the emergency department by ambulance for sudden onset chest pain followed by a syncopal episode. Point-of-care echocardiogram revealed a large pericardial effusion with a significantly dilated aortic root, concerning for aortic dissection. Patient was emergently taken for a computed tomography (CT) scan, which was only remarkable for an ascending thoracic aortic aneurysm but failed to show an aortic dissection flap. On repeat POCUS, a dissection intimal flap, large pericardial effusion with tamponade physiology, and aortic regurgitation were identified and later confirmed on transesophageal echocardiogram. This case report details a rare pathology that was correctly identified on initial POCUS before it was seen on CT scan.http://dx.doi.org/10.1155/2022/7166230 |
| spellingShingle | Kristina Thomas Omar Amr Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection Case Reports in Critical Care |
| title | Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection |
| title_full | Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection |
| title_fullStr | Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection |
| title_full_unstemmed | Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection |
| title_short | Use of Point-of-Care Ultrasound for Early Identification of Acute Aortic Root Dissection |
| title_sort | use of point of care ultrasound for early identification of acute aortic root dissection |
| url | http://dx.doi.org/10.1155/2022/7166230 |
| work_keys_str_mv | AT kristinathomas useofpointofcareultrasoundforearlyidentificationofacuteaorticrootdissection AT omaramr useofpointofcareultrasoundforearlyidentificationofacuteaorticrootdissection |