Aortic dissection: A "humerus" case.
Aortic dissection usually presents with acute onset of severe chest pain. Classically there is a pressure differential between the 2 arms and widening of the mediastinum. Echocardiography is considered the investigation of choice in many institutions. A case is presented in which the presentation and clinical signs are classical for dissection. Transthoracic echocardiography demonstrated "enlargement" of the descending aorta and a "flap." A surprise diagnosis was made by transesophageal echocardiography. Other vascular structures in the para-aortic regions should be considered when the diagnosis of aortic dissection is entertained.
Ascah
K J
KJ
University of Ottawa Heart Institute, Ontario, Canada. Kascah@ottawaheart.ca
D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000209:etiology*; D001013:Aorta, Thoracic; D001014:Aortic Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000000981:diagnostic imaging; D008875:Middle Aged