Acute aortic dissection with highly compressed true lumen: unanticipated pitfall of point-of-care ultrasonography
Open Access
- 2 March 2021
- journal article
- research article
- Published by BMJ in BMJ Case Reports
- Vol. 14 (3), e239328
- https://doi.org/10.1136/bcr-2020-239328
Abstract
A 46-year-old man presented with sudden onset of chest pain. He was in cardiogenic shock at arrival. Based on the results of ECG and echocardiogram, he was diagnosed with ST-segment elevation myocardial infarction. Point-of-care ultrasonography (POCUS) did not reveal acute aortic dissection (AAD). During an emergency coronary angiography, aortic dissection was detected and computed tomographic angiography (CTA) revealed Stanford type A AAD with a highly compressed true lumen. Because of this form of aortic dissection, the enlarged false lumen could be potentially misidentified as a normal aorta in POCUS. Although POCUS is useful when AAD is suspected, we should not overestimate its findings and lower the threshold for CTA.Keywords
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