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Diagnosis of a pericardial effusion with a thoracic aortic aneurysm by point-of-care ultrasound

  • Mario Francispragasam (a1), Jeff H. Yoo (a1), Tong V. Lam (a1) (a2) and Daniel J. Kim (a1) (a2)

Abstract

We present a rare case of a young patient with chest pain whose ascending thoracic aortic aneurysm (TAA) was detected by point-of-care ultrasound (POCUS) leading to a successful surgical repair. POCUS identified a moderate pericardial effusion and an associated severely dilated ascending aorta. In this context, it is important to rule out aortic rupture and aortic dissection. We also discuss the epidemiology, complications, and management of TAAs as well as the role of cardiac POCUS in the diagnosis of thoracic aneurysmal disease.

Sera exposé ici un cas rare d’anévrisme de l’aorte thoracique ascendante (AATA) chez une jeune femme présentant des douleurs thoraciques, qui a été détecté par une échographie au point de service (EPS) et dont la correction chirurgicale a été couronnée de succès. L’examen a permis de visualiser un épanchement péricardique modéré en association avec une dilatation très marquée de l’aorte ascendante. Il est important, dans ce contexte, d’écarter toute possibilité de rupture de l’aorte ou de dissection de l’aorte. L’article portera sur l’épidémiologie, les complications et la prise en charge de l’AATA ainsi que sur le rôle de l’EPS cardiaque dans le diagnostic de l’anévrisme thoracique.

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Copyright

Corresponding author

Correspondence to: Dr. Daniel Kim, Vancouver General Hospital, Department of Emergency Medicine, 855 12th Avenue W., Vancouver, BC V5Z 1M9; Email: dkim000@gmail.com

References

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Keywords

Diagnosis of a pericardial effusion with a thoracic aortic aneurysm by point-of-care ultrasound

  • Mario Francispragasam (a1), Jeff H. Yoo (a1), Tong V. Lam (a1) (a2) and Daniel J. Kim (a1) (a2)

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