Sonographic features of carotid artery dissection due to extension of aortic dissection: a case report

The Ultrasound Journal

Christian Boßelmann¹  Sven Poli² 

[1] Department of Neurology and Epileptology, and Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen;Department of Neurology and Stroke, and Hertie-Institute for Clinical Brain Research, Eberhard-Karls University of Tübingen;

关键词: Neurology;    Ultrasound;    Point-of-care systems;    Carotid artery dissection;   

DOI  :  10.1186/s13089-019-0147-2

来源: DOAJ

【 摘 要 】

Abstract Background Carotid artery dissection due to extension of aortic dissection (CAEAD) is a severe complication of acute aortic dissection. The risk of ischemic stroke is increased. Early sonographic detection and repeat evaluation are necessary to guide clinical management. Case presentation A 58-year-old male patient presents with sudden, tearing retrosternal pain. Point-of-care carotid ultrasound is used to establish the diagnosis of CAEAD. We describe a number of sonographic features and compare ultrasound to other imaging modalities. Conclusions Bedside carotid ultrasound enables rapid, sensitive and safe hemodynamic assessment, especially in critically ill patients.

【 授权许可】

Unknown