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CASE REPORT
Year : 2021  |  Volume : 31  |  Issue : 1  |  Page : 45-47

Transthoracic echocardiographic diagnostic accuracy in detecting “Type-B” aortic dissection


Cardiology Unit of Emergency Department, Madonna del Soccorso Hospital, San Benedetto del Tronto, Marche Region, Italy

Correspondence Address:
Vito Maurizio Parato
Cardiology Unit, Madonna Del Soccorso Hospital, ASUR Marche-AV5, 3-7, Via L. Manara - 63074, San Benedetto Del Tronto
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jcecho.jcecho_106_20

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We present a case of a 91-year-old man presenting to the emergency department with a tearing back pain. The patient's history included an endovascular abdominal aortic repair because of an aneurysm. The transthoracic echocardiography (TTE) appeared normal; however, when transducer was positioned to the left of the spine for the posterior paraspinal window, a clear intimal flap was demonstrated in the descending aorta lumen. The multiphasic computed tomography of the aorta confirmed the diagnosis of Stanford Type-B aortic dissection. The patient underwent thoracic endovascular aortic repair, consisting of a descending aorta endoluminal graft placement and realizing a full metal jacket thoracic-abdominal aorta. At 3-month follow-up, the outcome appeared excellent. The case points out the usefulness of TTE via nonconventional windows in detecting Type-B aortic dissection.


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