Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection

A 63-year-old woman with a history of previous anaphylactic reaction to iodate contrast presented with sudden back pain during exertion associated with elevated D-dimer levels. Transthoracic echocardiogram was unremarkable. She was unable to perform a computerized tomography for further evaluation o...

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Detalles Bibliográficos
Autores principales: Flores, Rui, Lopes, Joana, Pereira, Vítor Hugo, Salomé, Nuno
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975987/
https://www.ncbi.nlm.nih.gov/pubmed/36874641
http://dx.doi.org/10.7759/cureus.34368
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author Flores, Rui
Lopes, Joana
Pereira, Vítor Hugo
Salomé, Nuno
author_facet Flores, Rui
Lopes, Joana
Pereira, Vítor Hugo
Salomé, Nuno
author_sort Flores, Rui
collection PubMed
description A 63-year-old woman with a history of previous anaphylactic reaction to iodate contrast presented with sudden back pain during exertion associated with elevated D-dimer levels. Transthoracic echocardiogram was unremarkable. She was unable to perform a computerized tomography for further evaluation of the aorta due to her allergic background. Transesophageal echocardiogram disclosed a type B aortic dissection. This case report recalls the importance of transesophageal echocardiography in the algorithm for diagnosing aortic dissection in scenarios where CT is not possible.
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spelling pubmed-99759872023-03-02 Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection Flores, Rui Lopes, Joana Pereira, Vítor Hugo Salomé, Nuno Cureus Cardiac/Thoracic/Vascular Surgery A 63-year-old woman with a history of previous anaphylactic reaction to iodate contrast presented with sudden back pain during exertion associated with elevated D-dimer levels. Transthoracic echocardiogram was unremarkable. She was unable to perform a computerized tomography for further evaluation of the aorta due to her allergic background. Transesophageal echocardiogram disclosed a type B aortic dissection. This case report recalls the importance of transesophageal echocardiography in the algorithm for diagnosing aortic dissection in scenarios where CT is not possible. Cureus 2023-01-30 /pmc/articles/PMC9975987/ /pubmed/36874641 http://dx.doi.org/10.7759/cureus.34368 Text en Copyright © 2023, Flores et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Flores, Rui
Lopes, Joana
Pereira, Vítor Hugo
Salomé, Nuno
Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title_full Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title_fullStr Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title_full_unstemmed Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title_short Transesophageal Echocardiogram: Still a Powerful Tool in the 21st Century for the Diagnosis of Aortic Dissection
title_sort transesophageal echocardiogram: still a powerful tool in the 21st century for the diagnosis of aortic dissection
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9975987/
https://www.ncbi.nlm.nih.gov/pubmed/36874641
http://dx.doi.org/10.7759/cureus.34368
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