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[Acute aortic dissection: diagnostic possiblities of mono- and two-dimensional echocardiography]
P Mancini1, G Ferraiuolo, S Cervelli
1Policlinico Casilino USL RM5 Cardiologia, UTIC, Roma.
Insights
This case report highlights how mono and two-dimensional echocardiography (M and 2D E) aids in early acute aortic dissection (AAD) diagnosis. Echocardiography facilitates quicker intervention, improving patient prognosis.
Area of Science:
- Cardiology
- Medical Imaging
Background:
- Acute aortic dissection (AAD) is a life-threatening condition requiring prompt diagnosis and treatment.
- Traditional diagnostic methods can involve delays, impacting patient outcomes.
Observation:
- A 61-year-old woman presented with symptoms suggestive of AAD.
- Mono and two-dimensional echocardiography (M and 2D E) was utilized for diagnostic evaluation.
Findings:
- Echocardiography revealed key signs of AAD: intima-adventitia disconnection and an intimal flap within the aortic cavity.
- The study demonstrated the capability of M and 2D E to detect these specific pathological features.
Implications:
- M and 2D E offers a valuable tool for the early and accurate diagnosis of acute aortic dissection.
- Utilizing echocardiography can reduce the time between diagnosis and surgical intervention, potentially improving patient prognosis.
Abstract:
A case of an acute aortic dissection (AAD) has been reported in a 61-year-old woman, in whom, by the mono and two-dimensional echocardiography (M and 2D E) the authors have detected: 1) The disconnection between the intima and adventitia. 2) A flap of the intima in the aortic cavity. The authors emphasize the usefulness of the M and 2D E because it permits: 1) An early diagnosis of the AAD. 2) A reduction of the lapse between the angiographic examination and the surgical therapy. 3) A better prognosis.