Role of Echocardiography as Supporting Diagnostic Modality in Localized Stanford Type A Aortic Dissection

  • Haris Munirwan Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Amiliana Mardiani Soesanto Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Rina Ariani Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Taofan Taofan Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Suko Adiarto Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Ismoyo Sunu Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Bagus Herlambang Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Dicky Aligheri Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia
  • Retno Dwi Astuti Departemen Kardiologi dan Kedokteran Vaskular, Fakultas Kedokteran Universitas Indonesia

Abstract

Ascending Stanford type A aortic dissection carries a high morbidity and mortality. Proper identification of the proximal origin of the dissection and determination of concomitant aortic valve involvement significantly facilitate surgical repair which may improve survival.2Rapid imaging is necessary for the timely diagnosis of a potentially life-threatening condition. Transthoracic Echocardiography is highly accurate for the detection of acute aortic syndromes especially identify ascending aortic pathology such as type A aortic dissection.3 We report the unusual case of 52-years old male who present atypical presentation of aortic dissection with unclear view of dissection by CT Angiography aorta, and diagnosed as Localized Stanford A Aortic dissection with supported data by echocardiography modality.

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References

1. Col L, Menon A, Garg BAA, et al. Management of acute Type A aortic dissection. mjafi. 2013;(Mil):5-7.

2. Goldman ME, Guarino T, Mindich BP. Localization of Aortic Dissection Intimal Flap by Intraoperative Two-Dimensional Echocardiography. J Am Coll Cardiol. 1985;6(5):1155-1159.

3. Baliga RR, Nienaber CA, Bossone E. The Role of Imaging in Aortic Dissection. JACC. 2014;7(4).

4. Erbel R, Engberding R, Daniel W, Roelandt J, Visser C, Rennollet H. Echocardiography in diagnosis of aortic dissection. Lancet (London, England). 1989;1(8636):457-461.

5. Meszaros I, Morocz J, Szlavi J, et al. Epidemiology and clinicopathology of aortic dissection. Chest. 2000;117(5):1271-1278.

6. Crawford ES, Svensson LG, Coselli JS, Safi HJ, Hess KR. Surgical treatment of aneurysm and/or dissection of the ascending aorta, transverse aortic arch, and ascending aorta and transverse aortic arch. Factors influencing survival in 717 patients. J Thorac Cardiovasc Surg. 1989;98(5 Pt 1):654-659.

7. DeBakey ME, McCollum CH, Crawford ES, et al. Dissection and dissecting aneurysms of the aorta: twenty-year follow-up of five hundred twenty-seven patients treated surgically. Surgery. 1982;92(6):1118-1134.

8. Ferna?ndez-Golfi?n C, Zamorano JL. Role of echocardiography. In: ESC Textbook of Cardiovascular Imaging. Vol 2nd ed. Oxford: Oxford University press; 2014:606.

9. Roberts CS, Roberts WC. Dissection of the aorta associated with congenital malformation of the aortic valve. J Am Coll Cardiol. 1991;17(3):712-716.

10. Katritsis DG, Gersh BJ, Camm AJ. Acute aortic syndromes. In: Clinical Cardiology, Current Practice Guidelines. Vol 1. ; 2015:1689-1699.

11. PG H, CA N, EM I, al et. The international registry of acute aortic dissection (irad): New insights into an old disease. JAMA. 2000;283(7):897-903.

12. Hebballi R, Fcarcsi F, Swanevelder J, Chb MB, Anes M, Sa FCA. Diagnosis and management of aortic dissection. 2009;9(1):14-18.

13. Criado FJ. Aortic dissection: a 250-year perspective. Tex Heart Inst J. 2011;38(6):694-700.

14. Evangelista A, Flachskampf FA, Erbel R, et al. Echocardiography in aortic diseases : EAE recommendations for clinical practice. 2010:645-658.

15. Meredith EL, Masani ND. Echocardiography in the emergency assessment of acute aortic syndromes. Eur J Echocardiogr. 2009;10(1):i31-i39.

16. Kruger T, Conzelmann LO, Bonser RS, et al. Acute aortic dissection type A. Br J Surg. 2012;99(10):1331-1344.

17. Gaul C, Dietrich W, Erbguth FJ. Neurological symptoms in aortic dissection: a challenge for neurologists. Cerebrovasc Dis. 2008;26(1):1-8.

18. Hiratzka LF, Bakris GL, Beckman J a, et al. 2010 ACCF/AHA Guidelines for the diagnosis and management of patients with thoracic aortic disease. A Report of the American College of Cardiology Foundation/AHA Task Force on Practice Guidelines, A. J Am Coll Cardiol. 2010;55(14):e27-e129.

19. Batra P, Bigoni B, Manning J, et al. Pitfalls in the diagnosis of thoracic aortic dissection at CT angiography. Radiographics. 2000;20(2):309-320.

20. Gonzalez-alujas T. Diagnosis of Ascending Aortic Dissection by Transesophageal Echocardiography : Utility of M-Mode in Recognizing Artifacts. 1996;27(1):102-107.
Published
2016-05-02
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How to Cite
Munirwan, H., Soesanto, A., Ariani, R., Taofan, T., Adiarto, S., Sunu, I., Herlambang, B., Aligheri, D., & Astuti, R. (2016). Role of Echocardiography as Supporting Diagnostic Modality in Localized Stanford Type A Aortic Dissection. Indonesian Journal of Cardiology, 35(4), 285-95. https://doi.org/10.30701/ijc.v35i4.497
Section
Case Reports