Type a Aortic Dissection Presenting with Acute Lower Extremity Vascular Insufficiency in the Absence of Chest Pain
Key result
Transthoracic echocardiography successfully identified a rare painless Type A aortic dissection in a patient presenting with isolated lower extremity vascular insufficiency, facilitating rapid surgical repair.
Population
53-year-old man with a history of hypertension presenting with acute left lower extremity paresthesias and…
Design
Case_report
Authors
Discussion
Loading...
Member takes
Implication
TTE may aid atypical painless Type A dissection diagnosis; single case leaves open generalizability and practice change.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
A 53-year-old man with untreated hypertension presenting with acute left lower extremity vascular insufficiency in the absence of chest pain.
I
Intervention
Transthoracic echocardiogram
O
Outcome
Diagnosis of Type A aortic dissection
Transthoracic echocardiography can serve as a rapid, non-invasive bedside modality to diagnose atypical, painless Type A aortic dissection presenting with isolated lower extremity vascular insufficiency.
Limitations
- Transthoracic echocardiography has variable sensitivity and should not be considered a definitive study for ruling out aortic dissection.
Cite This Study
Earl et al. (2012) conducted a case report in Type A Aortic Dissection (n=1). Transthoracic echocardiography was evaluated. Transthoracic echocardiography successfully identified a rare painless Type A aortic dissection in a patient presenting with isolated lower extremity vascular insufficiency, facilitating rapid surgical repair.