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Aortic dissection and multimodality imaging
Author(s) -
Paulraj Shweta,
Ashok Kumar Prashanth,
Uprety Ajay,
Chaudhuri Debanik
Publication year - 2020
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14820
Subject(s) - aortic dissection , medicine , transesophageal echocardiogram , regurgitation (circulation) , gold standard (test) , radiology , dissection (medical) , computed tomographic angiography , transthoracic echocardiogram , angiography , surgery , aorta
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.