Ultrasound visualization of aortic dissection by right parasternal scanning, including systolic flutter of the intimal flap.
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.
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