Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Echocardiographic oscillating flap in aortic root dissecting aneurysm

W J Nicholson, B W Cobbs

    Chest
    |August 1, 1976
    PubMed
    Summary

    This article describes a unique ultrasound finding in a patient with a suspected aortic tear. Doctors observed a moving structure inside the vessel wall that helped confirm the diagnosis after other tests failed. This specific motion pattern may serve as a new diagnostic marker for identifying dangerous arterial ruptures.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Compressive strength and setting time determination of glass-ionomer cements incorporated with cetylpyridinium chloride and benzalkonium chloride.

    Prilozi·2012
    Same author

    Case-control study of radon and lung cancer in New Jersey.

    Radiation protection dosimetry·2007
    Same author

    Contained myocardial rupture: a variant linking complete and incomplete rupture.

    Heart (British Cardiac Society)·2005
    Same author

    Bradycardic syncope in 2 patients who recently began gatifloxacin treatment.

    Clinical infectious diseases : an official publication of the Infectious Diseases Society of America·2003
    Same author

    The carcinogenicity of chrysotile asbestos--a review.

    Industrial health·2001
    Same author

    Re: Call for an International Ban on Asbestos.

    American journal of industrial medicine·1999

    Area of Science:

    • Diagnostic imaging in cardiovascular medicine
    • Echocardiographic oscillating flap clinical assessment

    Background:

    Medical professionals often struggle to identify aortic dissections using standard imaging techniques alone. Initial clinical assessments frequently rely on physical examinations and basic chest radiographs to suspect these life-threatening events. Angiography sometimes fails to provide definitive evidence for complex vascular tears. This diagnostic uncertainty creates significant challenges for surgical planning. Prior research has shown that ultrasound provides a non-invasive alternative for visualizing heart structures. However, specific visual markers for identifying internal wall separation remain limited. No prior work had resolved the full diagnostic utility of dynamic flap motion within the false lumen. That uncertainty drove the need for detailed documentation of unique ultrasound patterns in these patients.

    Purpose Of The Study:

    The aim of this study is to report a novel echocardiographic finding in a patient with a suspected aortic dissection. Researchers sought to address the limitations of traditional diagnostic methods like angiography. The team investigated whether ultrasound could provide clearer evidence of internal wall separation. This work addresses the difficulty of confirming complex vascular tears using standard clinical tools. The authors intended to demonstrate the diagnostic value of observing specific flap movements. They aimed to correlate these ultrasound patterns with surgical observations of the aortic root. This effort was motivated by the need for more reliable non-invasive detection techniques. The study provides a detailed account of how ultrasound can reveal critical anatomical information.

    Keywords:
    cardiovascular imagingintimal flapvascular ruptureultrasound diagnostics

    Frequently Asked Questions

    The researchers propose that a regularly oscillating echo within the false lumen serves as a diagnostic marker. This motion corresponds to the intimal flap, which separates the true and false channels during a dissection event.

    The authors utilized echocardiography to visualize the aortic root. This tool allowed for the identification of the intimal flap, which was not confirmed by initial angiographic imaging.

    The patient presented with a history, physical findings, and chest x-ray film suggesting type I aortic dissection. These initial indicators were necessary to justify the subsequent use of ultrasound for further investigation.

    The study relies on echocardiographic data to correlate visual patterns with surgical findings. This approach demonstrates how ultrasound captures the movement of the intimal flap within the false lumen.

    Related Experiment Videos

    Main Methods:

    Review Approach involves analyzing a clinical case of a patient with suspected vascular rupture. The team performed a comprehensive physical examination alongside standard chest radiography. Investigators then attempted to confirm the diagnosis using traditional angiographic procedures. When angiography proved inconclusive, the medical staff initiated ultrasound imaging of the heart. This diagnostic sequence allowed for the observation of specific wall movements. The authors documented the presence of a rhythmic structure within the false lumen. They compared these ultrasound images with the actual anatomical findings observed during subsequent surgical intervention. This methodology highlights the integration of imaging data with operative verification.

    Main Results:

    Key Findings From the Literature indicate that ultrasound successfully predicted both the existence of the dissection and the specific anatomical details. The most significant result was the identification of a regularly oscillating echo. This movement directly corresponded to the intimal flap located inside the false lumen. The study confirms that this pattern was absent in standard angiographic results. The ultrasound findings were validated by direct observation during the surgical procedure. This specific motion was proposed as a novel indicator for dissecting aneurysms. The data demonstrates that ultrasound can detect features missed by other diagnostic modalities. These results support the utility of dynamic imaging in complex vascular cases.

    Conclusions:

    Synthesis and Implications suggest that dynamic ultrasound markers provide valuable diagnostic information for clinicians. The authors propose that the observed rhythmic movement represents a specific indicator for aortic wall separation. This finding may assist surgeons in confirming complex anatomical defects before intervention. The study highlights the potential of ultrasound to overcome limitations seen in traditional contrast-based imaging. Clinicians might consider this visual sign when evaluating patients with suspected vascular emergencies. The report emphasizes that such motion patterns correlate with surgical observations of the intimal layer. Future diagnostic protocols could incorporate this sign to improve patient outcomes. These observations offer a pathway for refining non-invasive detection of aortic pathology.

    The researchers measured the rhythmic oscillation of the intimal flap. This phenomenon was identified as a novel sign for detecting dissecting aneurysms in the aortic root.

    The authors suggest that this echocardiographic sign could improve the accuracy of diagnosing aortic dissections. They propose that this visual evidence helps confirm the presence and location of the anatomical defect.