title: Ultrasound visualization of aortic dissection by right parasternal scanning, including systolic flutter of the intimal flap.
abstract: Dilation of the ascending aorta and an intimal flap within it (indicating dissecting aneurysm) were visualized by M-mode and cross-sectional echocardiography, from the right but not from the left parasternal area. The diagnosis was confirmed by aortography and at surgery. Systolic flutter of the intimal flap, seen on M-mode echocardiography, was attributable to the jet from a mildly stenotic aortic valve impinging on it.
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery; D001027:Aortography; D006328:Cardiac Catheterization; D004452:Echocardiography; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010701:Phonocardiography; D014463:Ultrasonography