Thoracic Aortic Dissection & Aneurysm - Aortic Dissection On Suprasternal View
Caption
50 year old mandarin speaking man complains of vague central chest pain. You pursue a routine cardiac workup which is fairly normal. Upon discharging him, the nurse tells you his systolic in now in the 80's. After clenching the likely diagnosis of an Type A Aortic Dissection based on your echo, you confirm by placing the transducer in the patients suprasternal notch, transversely but with the probe marker rotated slightly toward the patient's hip and fan inferiorly. You see a grossly widened aorta and a dissection flap. Dr. Matthew Riscinti - Kings County Emergency Medicine, Dr. Benjamin Clearly - NYU Langone Emergency Medicine