Dissection with intimal flap extending into the proximal carotid artery. Most dissections begin with an intimal tear that allows the bloodstream direct access to the aortic wall. dissection usually occurs between the middle and outer layers of the media. Surgery can be down to repair the damaged wall with synthetic grafts. . . . . . . . . . #ultrasound #radiology #imaging #ultrasonido #medical #medicine #ultras #ultrasonography #mri #xray #doppler #health #radiologist #healthcare #ultrason #love
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Dissection with intimal flap extending into the proximal caroti…
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FacebookJohn Z Wetmore
🔴 AORTIC DISSECTION – TTE CLUES 🔴 🩺 Direct Signs: 🧵 Intimal flap in ascending aorta 🔀 True and false lumen 📏 Dilated aortic root / ascending aorta 💥 Indirect Signs: ❤️ Acute severe aortic regurgitation (flail cusp or root dilation) 🫀 Pericardial effusion ± tamponade 📉 LV dysfunction due to acute volume overload 📈 CW / Color Doppler: 🌊 Eccentric AR jet (often severe) 🔁 Flow in both lumens ⚡ High-velocity jet across intimal tear (occasionally seen) 📌 TTE is rapid and bedside—excellent
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Key Echo Findings in Aortic Dissection 🫀👇 • Mobile intimal flap separating true vs. false lumen • Different flow patterns between lumens on color Doppler • Aortic regurgitation — often from commissural detachment or root dilation • Pericardial effusion/tamponade from rupture into the pericardial space • Dilated ascending aorta or sinus of Valsalva • Possible LVH or LV dysfunction from chronic hypertension or ischemia Want more echo pearls like this? Join our newsletter on our website for free
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