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1 results

  • The utility of multiple imaging modalities to diagnose acute aortic dissection

  • Katrina F. Hurley, James Ducharme
  • Journal:
    Canadian Journal of Emergency Medicine / Volume 10 / Issue 1 / January 2008
    Published online by Cambridge University Press:
    21 May 2015, pp. 75-80
    Print publication:
    January 2008
    • Article
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  • A 21-year-old man with Marfan syndrome and known aortic root aneurysm presented to our emergency department with symptoms suggestive of acute aortic dissection. The patient was hemodynamically stable and bilateral upper extremity blood pressures were similar. There was no mediastinal widening on portable chest radiograph. Both contrast CT and retrograde angiography of the aorta failed to identify dissection. Subsequent transesophageal echocardiography demonstrated a Stanford classification type A dissection. This case demonstrates the utility of multiple imaging modalities for identifying aortic dissection in high-risk patients.