Why the study?
Does Doppler flow study detect dissecting aortic aneurysm involving the carotid artery when angiography fails?
Does Doppler flow study detect dissecting aortic aneurysm involving the carotid artery when angiography fails?
Doppler flow study of the carotid artery can reveal a dissecting aortic aneurysm even when aortic arch angiography fails to show an abnormality.
Carotid Doppler may detect aortic dissection missed by angiography; leaves open validation beyond this single case.
A 38-year-old man was hospitalized with severe neck pain. Aortic arch angiography failed to reveal an abnormality. Doppler flow study showed a prolonged systolic flow phase with a double peak in the left common carotid. The impression of dissecting aortic aneurysm involving the left carotid was confirmed at autopsy.
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Jesse Weinberger (1981) studied this question.
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