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

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.

SUBMITTER: Boßelmann C

PROVIDER: S-EPMC6888778 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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

Boßelmann Christian C Poli Sven S

The ultrasound journal 20191202 1

<h4>Background</h4>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.<h4>Case presentation</h4>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 featu ...[more]

PMID: 31792729

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