Key result
Cardiac point-of-care ultrasound using the suprasternal notch view successfully identified a dissection flap, leading to the rapid diagnosis of a type B aortic dissection in a 77-year-old male.
Why the study?
Diagnosis of type B aortic dissection on the suprasternal notch view is rare and had only been reported in one previous case report.
Case Report (n=1)
The suprasternal notch view on cardiac point-of-care ultrasound can be utilized to rapidly visualize and diagnose type B aortic dissection in the emergency department.
Answers are grounded in this paper and cite their sources.
May aid rapid ED diagnosis of type B dissection; leaves open need for prospective validation before adoption.
Aortic dissection (AD) is a life-threatening but uncommon and challenging diagnosis to make in the emergency department. Cardiac point-of-care ultrasound (POCUS) is often used to evaluate patients with chest pain and may be used to rapidly diagnose Stanford type A AD on the suprasternal notch view if there is the visualization of a dissection flap. In contrast, a diagnosis of type B AD on the suprasternal notch view is rare and has only been reported in one previous case report. We report the case of a patient who presented with chest pain and was accurately diagnosed with type B AD using the suprasternal notch view.
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Wang et al. (2019) conducted a case report in Type B Aortic Dissection (n=1). Point-of-care ultrasound (POCUS) on the suprasternal notch view was evaluated on Diagnosis of Type B Aortic Dissection. Cardiac point-of-care ultrasound using the suprasternal notch view successfully identified a dissection flap, leading to the rapid diagnosis of a type B aortic dissection in a 77-year-old male.
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