Aortic dissection and multimodality imaging

Shweta Paulraj; Prashanth Ashok Kumar; Ajay Uprety; Debanik Chaudhuri

doi:10.1111/echo.14820

Aortic dissection and multimodality imaging

Echocardiography. 2020 Sep;37(9):1485-1487. doi: 10.1111/echo.14820. Epub 2020 Aug 8.

Authors

Shweta Paulraj¹, Prashanth Ashok Kumar¹, Ajay Uprety², Debanik Chaudhuri²

Affiliations

¹ Department of Medicine, SUNY Upstate Medical University, Syracuse, New York, USA.
² Division of Cardiology, SUNY Upstate Medical University, Syracuse, New York, USA.

PMID: 32770760
DOI: 10.1111/echo.14820

Abstract

Aortic dissection is a life-threatening emergency warranting expeditious diagnosis. Computed tomographic angiography (CTA) is the established gold standard test but is not always fool proof. We report the case of an 18-year-old male patient with traumatic type A aortic dissection which was not evident on the CTA, suggestive on the transthoracic echocardiogram (TTE) and eventually confirmed with a transesophageal echocardiogram (TEE). When the clinical suspicion for dissection is high and in the presence of complications of type A dissection, such as aortic regurgitation, it would be prudent to obtain further imaging with a TTE/TEE to rule in or rule out the diagnosis.

Keywords: aortic dissection; aortic regurgitation; echocardiography; transesophageal echocardiography.

Publication types

Case Reports

MeSH terms

Adolescent
Aortic Dissection* / diagnostic imaging
Aortic Valve Insufficiency*
Echocardiography
Echocardiography, Transesophageal
Humans
Male
Multimodal Imaging