ED ultrasound diagnosis of a type B aortic dissection using the suprasternal view

Am J Emerg Med. 2012 Nov;30(9):2084.e1-5. doi: 10.1016/j.ajem.2011.11.012. Epub 2012 Jan 12.

Abstract

Aortic dissection (AD) is one of the most challenging diagnoses in emergency medicine. This is due, in part, to its variable presentation, ranging from abrupt tearing chest pain in a hemodynamically unstable patient to back pain in a stable patient, as well as its high mortality rates. (1) With the expanding role of ultrasound (U/S) performed by emergency physicians, it is possible to make the diagnosis of AD at the bedside before any other imaging modality has been accessed. (2) In this case report, we describe the use of emergency department (ED) bedside U/S and specifically highlight the use of the suprasternal view in the diagnosis of AD.

Publication types

  • Case Reports

MeSH terms

  • Aortic Aneurysm, Abdominal / diagnostic imaging*
  • Aortic Dissection / diagnostic imaging*
  • Chest Pain / etiology
  • Emergency Service, Hospital
  • Humans
  • Male
  • Middle Aged
  • Point-of-Care Systems
  • Ultrasonography, Doppler, Color