A&A Case Reports, Nov 1, 2017, Vol.9(9), p.254(4)
Byline: Jeremy M. Bennett, From the Division of Cardiovascular Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee.; Bantayehu Sileshi Abstract Early diagnosis of aortic dissection is important to reduce mortality, with surgical management representing standard treatment. Current methods of diagnosing type A aortic dissection include computed tomography angiography (CTA), magnetic resonance imaging, catheter-based arteriography, and transesophageal echocardiography. While each method has merits, there exists potential for false-positive findings. We present a case of a patient who was diagnosed with type A aortic dissection by CTA, but was found to not have an aortic dissection by transesophageal echocardiography under general anesthesia, preventing an unnecessary sternotomy. The echocardiographic findings suggested CTA artifact.
Aneurysm, Dissecting -- Diagnostic Imaging ; Computed Tomography Angiography -- Methods ; Echocardiography, Transesophageal -- Methods;