Keywords
emergency department
PoCUS
point of care ultrasound
How to Cite
Abstract
Thoracic aortic aneurysm and thoracic aortic dissection are related conditions that can present with non-specific symptoms and are associated with high morbidity and mortality therefore timely diagnosis is pivotal. Trans-thoracic echocardiography may detect thoracic aortic pathology and is increasingly performed by emergency physicians at the bedside. Point-of-Care Ultrasound can help to differentiate the causes of shock, chest pain and dyspnea.
We describe the case of a pulseless electrical activity arrest in cardiac tamponade resulting from an aortic dissection in which PoCUS assisted in diagnosis and treatment by pericardiocentesis in the emergency department.
References
Ramanath VS, Oh JK, Sundt TM 3rd, Eagle KA. Acute aortic syndromes and thoracic aortic aneurysm. Mayo Clin Proc 2009; 84:465-81.
Možina H, Jug B, Podbregar M. Point-of-care ultrasound in patients with aortic dissection – two year experience at Ljubljana emergency medical unit. Crit Ultrasound J 2012; 4:A14.
Nienaber CA, Kodolitsch Y, Nicolas V, Siglow V, Piepho A, Brockhoff C, et al. The diagnosis of thoracic aortic dissection by noninvasive imaging procedures. N Engl J Med 1993; 328:1-9.
Fojtik JP, Costantino TG, Dean AJ. The diagnosis of aortic dissection by emergency medicine ultrasound. J Emerg Med 2007; 32:191-6.