Importance of Multiple-window Assessment for the Diagnosis of Ascending Aortic Dissection Using Poin...

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" Importance of Multiple-window Assessment for the Diagnosis of Ascending Aortic Dissection Using Point-of-care Ultrasound: Report of Three Cases "
Zarama, Virginia; Arango-Granados, María C.; Bustamante Cristancho, Luis A.

Document Type	:	AL
Record Number	:	928129
Doc. No	:	LA6qn4h59f
Language of Document	:	English
Main Entry	:	Zarama, Virginia; Arango-Granados, María C.; Bustamante Cristancho, Luis A.
Title & Author	:	Importance of Multiple-window Assessment for the Diagnosis of Ascending Aortic Dissection Using Point-of-care Ultrasound: Report of Three Cases [Article]\ Zarama, Virginia; Arango-Granados, María C.; Bustamante Cristancho, Luis A.
Title of Periodical	:	Clinical Practice and Cases in Emergency Medicine
Volume/ Issue Number	:	3/4
Date	:	2019
Abstract	:	Acute ascending aortic dissection has a high mortality rate and requires rapid diagnosis and treatment. Point-of-care ultrasound (POCUS) can aid in the diagnosis. The aortic root is usually evaluated in the parasternal long-axis view; however, a dissection flap is not always visible in this projection. We present three cases of acute, type A aortic dissection in which the dissection flap was only evident in the apical five-chamber and subxyphoid views. These cases suggest that POCUS may play a pivotal role in the initial diagnosis of acute ascending aortic dissection and highlight the importance of viewing multiple windows to fully evaluate this possibility.