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Image in Cardiology
Suprasternal echocardiography and aortic dissection
Ecocardiografia supraesternal e disseção aórtica
Liliana Reisa,b,
Autor para correspondência
liliana.teles@hotmail.com

Corresponding author.
, Inês Almeidaa,b, Rogério Teixeiraa,b, Andreia Fernandesa,b, José Nascimentoa,b, Lino Gonçalvesa,b
a Centro Hospitalar e Universitário de Coimbra – Hospital Geral, Coimbra, Portugal
b Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 48-year-old woman with no significant cardiovascular history presented to the hospital with a chief complaint of acute chest pain&#44; without radiation&#44; associated with an episode of blurred vision&#46; The physical examination was remarkable for a systolic blood pressure differential in the upper limbs &#40;left 129&#47;43 mmHg&#44; right 40&#47;20 mmHg&#41;&#44; absence of right radial and brachial pulses&#44; and a holodiastolic aortic murmur&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">The electrocardiogram revealed left ventricular hypertrophy&#46; Emergent transthoracic echocardiography in left parasternal view showed dilatation of the thoracic ascending aorta &#40;43 mm&#41; and a bicuspid aortic valve&#44; with severe regurgitation due to prolapse of the cusps &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41;&#46; In the suprasternal window&#44; at the level of the aortic arch&#44; an intimal flap with supravalvar origin and extension to the aortic arch&#44; descending thoracic and abdominal aorta was clearly evident &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B&#44; Videos 1 and 2&#41;&#46; Biventricular systolic function was normal and there was no pericardial effusion&#46; Subsequently&#44; cardiac computed tomography confirmed the presence of a Stanford type A aortic dissection &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>C and D&#41;&#46; The patient was referred for emergent cardiac surgery&#46; At three months of follow-up&#44; she was asymptomatic&#44; with no signs of target organ damage&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Aortic dissection is an uncommon but potentially fatal condition&#46; The accessibility and diagnostic ability of bedside echocardiography enabled the rapid detection and prompt treatment of this condition&#44; contributing to the good end result&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare that no patient data appear in this article&#46;</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0035" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Informação do artigo
ISSN: 08702551
Idioma original: Inglês
DOI:10.1016/j.repc.2016.07.010
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