التفاصيل البيبلوغرافية
| العنوان: |
An atypical type-A dissection of aorta: case report. |
| المؤلفون: |
Acharya, Yash, Witt, Erik |
| المصدر: |
Critical Care Innovations; 2022, Vol. 5 Issue 3, p33-41, 9p |
| مصطلحات موضوعية: |
AORTIC aneurysms, SURGICAL emergencies, EMERGENCY medicine, CHEST pain, PATHOLOGY |
| مستخلص: |
Despite a dissecting aortic aneurysm being a surgical emergency, it is frequently misdiagnosed in the Emergency Department. It is no surprise that the thoracic aorta's walls can rupture catastrophically with over 200 million litres of blood travelling through it in an average lifetime. Chest pain +1 (symptom) should prompt a differential diagnosis of a thoracic aortic dissection. Unfortunately, up to 33% of aortic dissection patients are misdiagnosed in the ED. Although the diagnostic imaging of choice is the CT aortogram, the question is whether transthoracic Echocardiography (TTE) is a robust enough imaging modality to rule in or rule out the presence of a type A thoracic dissection on first presentation in the ED and if it is helpful in the ED without immediate access to a cardiothoracic surgeon? This case highlights the importance of Point-of-care ultrasonography (POCUS) in helping with risk stratification and patient streaming in the emergency department. The likelihood of missing an ascending thoracic aorta pathology is reduced if the image acquisition is of good quality. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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