Use of handheld POCUS to speed up the diagnosis of aortic dissection
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Abstract
A 82-year-old woman presented to the Emergency Department (ED) with asthenia,neurological weakness of left arm and mild chest pain.
A portable ultrasound device equipped with a sector probe - used to assess possible causes of shock and hypotension - showed intimal flapping of aortic arc on suprasternal notch scan.
The diagnosis of type A aortic dissection (AD) was confirmed by CT scan, but in the meanwhile the cardiac surgery team had been already alerted.
The use of point-of-care ultrasonography (POCUS) with portable devices can improve and speed up the diagnosis of life threatening conditions as AD which has time related mortality and whose therapy differs from that of other conditions ti may mimics.
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