Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI
Background: Emergency physician use of transesophageal echocardiography (TEE) is emerging as a promising tool to aid diagnosis and treatment during resuscitation. Case report: We present a case of aVR ST-elevation myocardial infarction followed by witnessed cardiac arrest and diagnosis of aortic dis...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | JEM Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773232023000251 |
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| author | Andrew Loftus Samer Abou-Arbid David Marshall Julian Suszanski Christopher Clark |
| author_facet | Andrew Loftus Samer Abou-Arbid David Marshall Julian Suszanski Christopher Clark |
| author_sort | Andrew Loftus |
| collection | DOAJ |
| description | Background: Emergency physician use of transesophageal echocardiography (TEE) is emerging as a promising tool to aid diagnosis and treatment during resuscitation. Case report: We present a case of aVR ST-elevation myocardial infarction followed by witnessed cardiac arrest and diagnosis of aortic dissection by resuscitative TEE intra-arrest. We propose the aortic dissection caused severe aortic regurgitation, left ventricular outflow tract obstruction and coronary artery malperfusion due to intimal intussusception through the aortic valve, ultimately resulting in death. Why should an emergency physician be aware of this?: Resuscitative TEE rapidly identified this unexpected life-threatening pathology and drastically changed patient management. |
| format | Article |
| id | doaj-art-151f5c44742140d18652e5a85e06a88c |
| institution | Kabale University |
| issn | 2773-2320 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JEM Reports |
| spelling | doaj-art-151f5c44742140d18652e5a85e06a88c2024-11-22T07:40:17ZengElsevierJEM Reports2773-23202023-06-0122100029Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMIAndrew Loftus0Samer Abou-Arbid1David Marshall2Julian Suszanski3Christopher Clark4Department of Emergency Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USADepartment of Emergency Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USADepartment of Emergency Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USADepartment of Emergency Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USACorresponding author.; Department of Emergency Medicine, Henry Ford Hospital, 2799 W. Grand Blvd, Detroit, MI, 48202, USABackground: Emergency physician use of transesophageal echocardiography (TEE) is emerging as a promising tool to aid diagnosis and treatment during resuscitation. Case report: We present a case of aVR ST-elevation myocardial infarction followed by witnessed cardiac arrest and diagnosis of aortic dissection by resuscitative TEE intra-arrest. We propose the aortic dissection caused severe aortic regurgitation, left ventricular outflow tract obstruction and coronary artery malperfusion due to intimal intussusception through the aortic valve, ultimately resulting in death. Why should an emergency physician be aware of this?: Resuscitative TEE rapidly identified this unexpected life-threatening pathology and drastically changed patient management.http://www.sciencedirect.com/science/article/pii/S2773232023000251UltrasoundSTEMIAortic dissectionaVRResuscitative TEETransesophageal echocardiography |
| spellingShingle | Andrew Loftus Samer Abou-Arbid David Marshall Julian Suszanski Christopher Clark Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI JEM Reports Ultrasound STEMI Aortic dissection aVR Resuscitative TEE Transesophageal echocardiography |
| title | Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI |
| title_full | Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI |
| title_fullStr | Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI |
| title_full_unstemmed | Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI |
| title_short | Resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of aVR STEMI |
| title_sort | resuscitative transesophageal echocardiography identifies aortic dissection intussusception as the cause of avr stemi |
| topic | Ultrasound STEMI Aortic dissection aVR Resuscitative TEE Transesophageal echocardiography |
| url | http://www.sciencedirect.com/science/article/pii/S2773232023000251 |
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