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

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...

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Main Authors: Mahdis Solhjoo, Supreeya Swarup, Amgad N. Makaryus
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2019/6545472
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author Mahdis Solhjoo
Supreeya Swarup
Amgad N. Makaryus
author_facet Mahdis Solhjoo
Supreeya Swarup
Amgad N. Makaryus
author_sort Mahdis Solhjoo
collection DOAJ
description 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.
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series Case Reports in Radiology
spelling doaj-art-bee0dbdb2f204649a2c1c9159adb3e062025-02-03T01:23:44ZengWileyCase Reports in Radiology2090-68622090-68702019-01-01201910.1155/2019/65454726545472A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic EchocardiographyMahdis Solhjoo0Supreeya Swarup1Amgad N. Makaryus2Departments of Medicine, Nassau University Medical Center, East Meadow, NY, USADepartment of Cardiology, Nassau University Medical Center, East Meadow, NY, USADepartment of Cardiology, Nassau University Medical Center, East Meadow, NY, USAWe 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.http://dx.doi.org/10.1155/2019/6545472
spellingShingle Mahdis Solhjoo
Supreeya Swarup
Amgad N. Makaryus
A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
Case Reports in Radiology
title A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
title_full A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
title_fullStr A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
title_full_unstemmed A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
title_short A Case of Aortic Dissection Presenting with Atypical Symptoms and Diagnosed with Transthoracic Echocardiography
title_sort case of aortic dissection presenting with atypical symptoms and diagnosed with transthoracic echocardiography
url http://dx.doi.org/10.1155/2019/6545472
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