RSS-Feed abonnieren
DOI: 10.1055/a-1347-1357
CASE REPORT: Diagnosing Thoracic Aortic Dissection using Bedside Ultrasound in an Emergency Department in a Norwegian University Teaching Hospital
![](https://www.thieme-connect.de/media/ultraschall/202102/lookinside/thumbnails/uim-13471357_10-1055-a-1347-1357-1.jpg)
Abstract
Thoracic aortic dissection (TAD) is a medical emergency which can present with a variety of symptoms. It is vital to rapidly identify and diagnose this condition to increase the patients’ chances of survival. Computed tomography (CT) and Magnetic resonant imaging (MRI) are the standard diagnostic modalities, however these are normally carried out outside an emergency department (ED), which could delay diagnosis and delivery of care.
Transthoracic Echocardiography (TTE) is an accepted first line imaging modality in the ED. This has been previously reported by the European Association of Echocardiography [1], and ultrasound is becoming widely available and used in EDs nowadays. The aim of this article is to present a case in which bedside ultrasound with focused cardiac examination (FOCUS) was utilised to provide a rapid diagnosis of a clinical suspected aortic dissection.
Publikationsverlauf
Artikel online veröffentlicht:
12. April 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References
- 1 Evangelista A, Flachskampf FA, Erbel R. et al European Association of Echocardiography; Document Reviewers:, Pepi M, Breithardt OA, Plonska-Gosciniak E. Echocardiography in aortic diseases: EAE recommendations for clinical practice. Eur J Echocardiogr 2010; 11: 645-658 . doi:10.1093/ejechocard/jeq056. Erratum in: Eur J Echocardiogr. 2011 Aug;12(8):642. PMID: 20823280.
- 2 Sullivan PR, Wolfson AB, Leckey RD. et al Diagnosis of acute thoracic aortic dissection in the emergency department. The American Journal of Emergency Medicine 2000; 18: 46-50 , ISSN 0735-6757, https://doi.org/10.1016/S0735-6757(00)90047-0.
- 3 Strayer RJ, Shearer PL, Hermann LK. Screening, evaluation, and early management of acute aortic dissection in the ED. Curr Cardiol Rev 2012; 8: 152-157 . doi:10.2174/157340312801784970. PMID: 22708909; PMCID: PMC3406274.
- 4 Blaivas M, Sierzenski PR. Dissection of the proximal thoracic aorta: a new ultrasonographic sign in the subxiphoid view. Am J Emerg Med 2002; 20: 344-348 . doi:10.1053/ajem.2002.33006. PMID: 12098184.
- 5 Williams J, Heiner JD, Perreault MD. et al. Aortic dissection diagnosed by ultrasound. West J Emerg Med 2010; 11: 98-99
- 6 Victor MF, Mintz GS, Kotler MN. et al. Two dimensional echocardiographic diagnosis of aortic dissection. Am J Cardiol 1981; 48: 1155
- 7 Fojtik JP, Costantino TG, Dean AJ. The diagnosis of aortic dissection by emergency medicine ultrasound. J Emerg Med 2007; 32: 191-196 . doi:10.1016/j.jemermed.2006.07.020. Epub 2007 Jan 22. PMID: 17307632.
- 8 Roudaut RP, Billes MA, Gosse P. et al. Accuracy of M-mode and two-dimensional echocardiography in the diagnosis ofaortic dissection: An experience with 128 cases. Clin Cardiol 1988; 11: 553-562
- 9 Nazerian P, Vanni S, Castelli M. et al Diagnostic performance of emergency transthoracic focus cardiac ultrasound in suspected acute type A aortic dissection. Intern Emerg Med 2014; 9: 665-670 . doi:10.1007/s11739-014-1080-9. Epub 2014 May 29. PMID: 24871637.